Active NPI
Nathaniel Raphael Hassan
- Dentist
- Palmdale, CA
National Provider Identifier
1043768773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100796
- Practice address
- 38209 47TH St E Ste E
Palmdale, CA 93552-3113 - Phone
- (661) 236-0046
- NPI assigned
- Sep 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 100796 | CA | Primary |
Addresses
Primary practice location
38209 47TH St E Ste E
Palmdale, CA 93552-3113
Mailing address
12317 Addison St.
Los Angeles, CA 91607
Phone (818) 915-3894
Other practice location 1
18500 Via Princessa Ste 1
Santa Clarita, CA 91387-8325
Phone (661) 298-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100796 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yasmin Easley Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Palmdale, CA
- NPI 1326299942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1043768773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12317 ADDISON ST.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "91607",
"telephone_number": "818-915-3894",
"fax_number": "818-915-3894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38209 47TH ST E STE E",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935523113",
"telephone_number": "661-236-0046"
}
],
"practiceLocations": [
{
"address_1": "18500 Via Princessa Ste 1",
"address_purpose": "LOCATION",
"city": "Santa Clarita",
"state": "CA",
"postal_code": "913878325",
"country_code": "US",
"telephone_number": "661-298-1100",
"fax_number": "661-298-1108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASSAN",
"first_name": "NATHANIEL",
"middle_name": "RAPHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-12",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "100796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.