Individual provider Active NPI

Mohammed Abdul Hannan, C.R.N.A

  • Certified Registered Nurse Anesthetist
  • Sacramento, CA
National Provider Identifier
1174062301
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1161565 Issued in TX
Practice address
4701 College Oak Dr Apt 5
Sacramento, CA 95841-4257
Phone
(916) 572-4266
NPI assigned
Feb 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95000685 CA
Certified Registered Nurse Anesthetist 367500000X 1161565 TX Primary

Addresses

Primary practice location

4701 College Oak Dr Apt 5
Sacramento, CA 95841-4257

Mailing address

4701 College Oak Dr Apt 5
Sacramento, CA 95841-4257
Phone (916) 572-4266

Other practice location 1

12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone (972) 715-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170308001099 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355625567 Reassigns benefits to 11 organizations
I20241202003140 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355625567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-6356

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

Merit-based Incentive Payment System (MIPS)

Final score
81.7 of 100Reported as group
Quality
70
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1161565TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of California, PC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2022 Accepting new patients
Dynamic Anesthesia Providers PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2024 Accepting new patients
Palm Springs Anesthesia Services, PC CurrentSince Jan 15, 2021 Accepting new patients
Anesthesia Services of San Joaquin, P.C. CurrentSince Jan 1, 2018 Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 1, 2025 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Feb 17, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 1, 2025 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 1, 2025 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Nov 19, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 1, 2025 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Nov 19, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 1, 2025 Accepting new patients
Green Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Mar 20, 2024 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations (25 of 34)

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

8200 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 544-5400

8220 Wymark Dr
Ste 101
Elk Grove, CA 95757
Phone (916) 667-0750

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

2700 Low Ct
Fl 2
Fairfield, CA 94534
Phone (707) 432-2700

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

223 Clinton Rd
Ste 204
Jackson, CA 95642
Phone (209) 223-5938

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1409 E Briggsmore Ave
Modesto, CA 95355
Phone (209) 550-4725

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1238 West St
Redding, CA 96001
Phone (530) 241-5499

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488

4 Medical Plaza Dr
Ste 210
Roseville, CA 95661
Phone (916) 773-8780

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

8011 Don Ave
Stockton, CA 95209
Phone (209) 955-3001

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Organizations & group practices 18

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.

View all 18

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": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1174062301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 COLLEGE OAK DR APT 5",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414257",
            "telephone_number": "916-572-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 COLLEGE OAK DR APT 5",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958414257",
            "telephone_number": "916-572-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12222 Merit Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752513294",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "MOHAMMED",
        "middle_name": "ABDUL",
        "credential": "C.R.N.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000685",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1161565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.