Individual provider Active NPI

Leanna Hansen, MD

  • Dermatology Physician
  • Orange, CA
National Provider Identifier
1053948380
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A194094 Issued in CA
Practice address
101 The City Dr S Ste 400
Orange, CA 92868-3201
Phone
(714) 456-5691
Fax
(714) 456-8874
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A194094 CA Primary

Addresses

Primary practice location

101 The City Dr S Ste 400
Orange, CA 92868-3201

Mailing address

15525 Pomerado Rd Ste A2
Poway, CA 92064-2425
Phone (858) 451-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240920000704 CA Practitioner - Dermatology 2961808555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Wisconsin, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bernardo Dermatology Medical Group IncGroup PAC ID 6507802964, 8 clinicians

Practice addresses (Care Compare)

15525 Pomerado Rd
Suite A2
Poway, CA 92064-2425
Phone (858) 451-3311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions172
Removal or shaving of skin growth1-10
Skin biopsy76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A194094CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bernardo Dermatology Medical Group Inc Dermatology CurrentSince Oct 1, 2024 Accepting new patients
The Regents of the University of California-Irvine PastSince Mar 29, 2020 Accepting new patients

Locations

15525 Pomerado Rd
Ste A2
Poway, CA 92064
Phone (858) 451-3311

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1053948380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD STE A2",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642425",
            "telephone_number": "858-451-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S STE 400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-5691",
            "fax_number": "714-456-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "LEANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A194094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.