Individual provider Active NPI

Hanin Hawatmeh, DC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1215450143
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33953 Issued in CA
Practice address
11 Golden SHR Ste 220
Long Beach, CA 90802-4218
Phone
(562) 495-5898
NPI assigned
Jul 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33953 CA Primary

Addresses

Primary practice location

11 Golden SHR Ste 220
Long Beach, CA 90802-4218

Mailing address

417 W la Habra Blvd
La Habra, CA 90631-5407
Phone (562) 691-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190520002605 CA Practitioner - Chiropractic 0143563882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

417 W la Habra Blvd
La Habra, CA 90631-5407
Phone (562) 691-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33953CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hanin Hawatmeh, D.C. a Professional Chiropractic Corporation Chiropractor CurrentSince Nov 28, 2018 Accepting new patients
Glenn S Cloud, DC Chiropractor PastSince Nov 28, 2018 Accepting new patients

Locations

417 W La Habra Blvd
La Habra, CA 90631
Phone (562) 691-2224

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1215450143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 W LA HABRA BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315407",
            "telephone_number": "562-691-2225",
            "fax_number": "562-691-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GOLDEN SHR STE 220",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024218",
            "telephone_number": "562-495-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWATMEH",
        "first_name": "HANIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.