Samia Shalaby Hanna, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

63163 Issued in CA

Practice address

2641 Hamner Ave Ste 101
Norco, CA 92860-3637

Phone

(951) 739-7770

Fax

(951) 739-7772

NPI assigned

Sep 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A.S.Shah,DMD, Inc.

  • Dentist
  • Norco, CA
  • NPI 1508268749
  NPD (past)
• Kalpana Yadav, DDS, a Professional Dental Corp.

  • General Practice Dentistry
  • Norco, CA
  • NPI 1033809280
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1225131840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7152 LEIGHTON DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803988",
            "telephone_number": "580-678-8183",
            "fax_number": "714-993-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 HAMNER AVE STE 101",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603637",
            "telephone_number": "951-739-7770",
            "fax_number": "951-739-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "SAMIA",
        "middle_name": "SHALABY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5583",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "1225131840",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100026220B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Ann Hamamoto, LMFT
• Joannie Hambel, RN, APRN, NP, PMHNP
• Hamed Ghorbanian, DDS, Prof Dental Corp
• Kaylee Hammond
• Hanger Prosthetics & Orthotics West, Inc..
• Eric Malachi Harrison
• Afshan Hasan
• Ina Lee Haugen, PSY.D.
• Hawatmeh and Torkaman Dental Corp
• Julia Kate Hazen, OTR/L

• Dentist in Norco, CA
• Providers in Norco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.