Individual provider Active NPI

Nidal Al Hannat, M.D.

  • Internal Medicine Physician
  • Irvine, CA
National Provider Identifier
1235335563
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A128838 Issued in CA
Practice address
11 Technology Dr
Irvine, CA 92618-2302
Phone
(855) 206-6764
Fax
(949) 923-3575
NPI assigned
Jun 24, 2007
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A128838 CA Primary
Hospitalist Physician 208M00000X A128838 CA

Addresses

Primary practice location

11 Technology Dr
Irvine, CA 92618-2302

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other names 1

  • Dr. Nidal Hannat Other name

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
I20150410002602 CA Practitioner - Internal MedicinePractitioner - Hospitalist 1759575624 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128838CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Nov 1, 2023 Accepting new patients
Centers for Family Medicine GP Internal Medicine CurrentSince May 1, 2015 Accepting new patients
Providence Medical Foundation CurrentSince Nov 1, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
Henry Ford Macomb Hospital Corporation Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

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

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nalhannat255464@direct-ucsfmedicalcenter.org
  • Direct secure messaging: nidal.alhannat.p7@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1182643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1235335563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182302",
            "telephone_number": "855-206-6764",
            "fax_number": "949-923-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL HANNAT",
        "first_name": "NIDAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-24",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A128838",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A128838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIDAL",
            "last_name": "HANNAT",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.