Individual provider Active NPI

Emmanuel C. Conanan, MD

  • Family Medicine Physician
  • Hanford, CA
National Provider Identifier
1144308644
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A71983 Issued in CA
Practice address
560 W Grangeville Blvd
Ste a
Hanford, CA 93230-2858
Phone
(559) 448-4500
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A71983 CA Primary

Addresses

Primary practice location

560 W Grangeville Blvd
Ste a
Hanford, CA 93230-2858

Mailing address

560 W Grangeville Blvd
Ste a
Hanford, CA 93230-2858
Phone (510) 625-6262

Other identifiers 1

IdentifierTypeStateIssuer
00A719830MedicaidCA

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
I20070117000535 CA Practitioner - Family Practice 5597651430

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

560 W Grangeville Blvd
Suite a
Hanford, CA 93230-2858
Phone (559) 212-8783

Hospital & facility affiliations

  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
  • Coalinga Regional Medical Center D/P SNF Nursing home, Coalinga, CA, CCN 555925

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71983CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baum 5 Star Healthcare CurrentSince Dec 3, 2019 Accepting new patients
Hanford Community Hospital Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

560 W Grangeville Blvd
Ste A
Hanford, CA 93230
Phone (559) 408-5533

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1144308644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W GRANGEVILLE BLVD",
            "address_2": "STE A",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302858",
            "telephone_number": "510-625-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W GRANGEVILLE BLVD",
            "address_2": "STE A",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302858",
            "telephone_number": "559-448-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONANAN",
        "first_name": "EMMANUEL",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A719830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.