Individual provider Active NPI

Hanna Hyacinth Sembrano Casanada

  • Family Nurse Practitioner
  • Newport Beach, CA
National Provider Identifier
1114658051
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020069 Issued in CA
Practice address
4695 Macarthur CT # 112a
Newport Beach, CA 92660-1882
Phone
(844) 469-2264
NPI assigned
Jun 21, 2022
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95020069 CA Primary

Addresses

Primary practice location

4695 Macarthur CT # 112a
Newport Beach, CA 92660-1882

Mailing address

4695 Macarthur CT # 112a
Newport Beach, CA 92660-1882
Phone (844) 469-2264

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250620002150 CA Practitioner - Nurse Practitioner 6204348881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BL Anderson Medical CorporationGroup PAC ID 5395176473, 6 clinicians

Practice addresses (Care Compare)

10890 Thornmint Rd
Suite 202
San Diego, CA 92127-2435
Phone (855) 745-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95020069CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BL Anderson Medical Corporation CurrentSince Apr 7, 2025 Accepting new patients
Rancho Family Medical Group, Inc. PastSince Jul 1, 2022 Accepting new patients

Locations

10890 Thornmint Rd
Ste 202
San Diego, CA 92127
Phone (855) 745-8400

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1114658051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT # 112A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601882",
            "telephone_number": "844-469-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT # 112A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601882",
            "telephone_number": "844-469-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANADA",
        "first_name": "HANNA HYACINTH",
        "middle_name": "SEMBRANO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.