Individual provider Active NPI

Hanan Albalasi

  • Community Health Worker
  • Pittsburg, CA
National Provider Identifier
1104535590
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
300 E Leland Rd Ste 100
Pittsburg, CA 94565-4961
Phone
(925) 439-9628
NPI assigned
Nov 15, 2022
Last updated
May 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

300 E Leland Rd Ste 100
Pittsburg, CA 94565-4961

Mailing address

300 E Leland Rd Ste 100
Pittsburg, CA 94565-4961
Phone (925) 439-9628

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Center - Next Steps CurrentSince Nov 20, 2022 Accepting new patients
Vistability CurrentSince Nov 20, 2022 Accepting new patients

Locations

300 E Leland Rd
Ste 100
Pittsburg, CA 94565
Phone (925) 439-9628

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1104535590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E LELAND RD STE 100",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654961",
            "telephone_number": "925-439-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E LELAND RD STE 100",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654961",
            "telephone_number": "925-439-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBALASI",
        "first_name": "HANAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.