NPIMap

Individual provider Active NPI

Joshua Daniel Hanelin, M.D.

  • Diagnostic Radiology Physician
  • Valencia, CA
National Provider Identifier
1194928770
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A115815 Issued in CA
Practice address
23929 McBean Pkwy
Valencia, CA 91355-4466
Phone
(323) 549-3030
Fax
(323) 549-3149
NPI assigned
Jun 8, 2007
Last updated
Aug 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MDR4995 HI
Diagnostic Radiology Physician 2085R0202X A115815 CA Primary

Addresses

Primary practice location

23929 McBean Pkwy
Valencia, CA 91355-4466

Mailing address

20 Executive Park Ste 155
Irvine, CA 92614-4733
Phone (949) 263-8620

Other identifiers 2

IdentifierTypeStateIssuer
00A1158150OtherCABLUE SHIELD OF CALIFORNIA
1194928770MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000180 CA Practitioner - Diagnostic Radiology 1557548732 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Columbia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians
Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians
Tower Imaging Medical Group IncGroup PAC ID 2668376708, 29 clinicians

Practice addresses (Care Compare)

12602 Amargosa Rd
Suite F
Victorville, CA 92392-7640
Phone (760) 261-5000

1266 Calle de Sevilla
Pacific Palisades, CA 90272-2136
Phone (847) 637-8711

1328 22ND St
Santa Monica, CA 90404-2032
Phone (310) 829-8814

2202 Wilshire Blvd
Santa Monica, CA 90403-5706
Phone (310) 264-9000

23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 253-8000

23929 McBean Pkwy
Suite 109
Valencia, CA 91355-4467
Phone (661) 253-8705

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
85.63
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as apm
Quality
84.3
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR4995HIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Sep 3, 2024 Accepting new patients
Illinois Diagnostic and Interventional Radiology PLLC Diagnostic Radiology CurrentSince Jul 9, 2025 Accepting new patients
Little Company of Mary Ancillary Services Corporation CurrentSince Mar 6, 2025 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Sep 3, 2024 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Radpod FL PLLC Diagnostic Radiology Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

12602 Amargosa Rd
Ste F
Victorville, CA 92392
Phone (760) 261-5000

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1194928770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXECUTIVE PARK STE 155",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144733",
            "telephone_number": "949-263-8620",
            "fax_number": "800-409-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23929 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554466",
            "telephone_number": "323-549-3030",
            "fax_number": "323-549-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANELIN",
        "first_name": "JOSHUA",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MDR4995",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A115815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00A1158150",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194928770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.