Individual provider Active NPI

Anass Hanouf, DO

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1265994974
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A22458 Issued in CA
Practice address
8745 Aero Dr Ste 200
San Diego, CA 92123-1774
Phone
(858) 565-0950
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20A22458 CA Primary

Addresses

Primary practice location

8745 Aero Dr Ste 200
San Diego, CA 92123-1774

Mailing address

PO Box 60604
City of Industry, CA 91716-0604

Other practice location 1

2601 Ocean Pkwy
Brooklyn, NY 11235-7791
Phone (718) 616-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250722002467 CA Practitioner - Diagnostic Radiology 8325554850 Reassigns benefits to 2 organizations
I20260122002196 WI Practitioner - Diagnostic Radiology 8325554850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Diego Imaging-Chula Vista LLCGroup PAC ID 5496641813, 43 clinicians

Practice addresses (Care Compare)

3075 Health Ctr Dr
San Diego, CA 92123-2773
Phone (858) 939-5100

765 Medical Ctr CT
Chula Vista, CA 91911-6600
Phone (619) 397-6577

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Radiology Specialists, S C CurrentSince Jan 14, 2026 Accepting new patients
San Diego Imaging, LLC Current Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Jan 14, 2026 Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. CurrentSince Jul 21, 2025 Accepting new patients
San Diego Diagnostic Radiology Medical Group Inc Diagnostic Radiology Current Accepting new patients
San Diego Diagnostic Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 21, 2025 Accepting new patients
San Diego Imaging-Chula Vista LLC CurrentSince Jul 21, 2025 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

765 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 397-6577

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

7910 Frost St
Ste 100
San Diego, CA 92123
Phone (858) 634-5900

8745 Aero Dr
Ste 200
San Diego, CA 92123

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

250 Prospect Pl
San Diego, CA 92118
Phone (619) 522-3600

3075 Health Center Dr
San Diego, CA 92123
Phone (858) 637-7888

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1265994974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60604",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917160604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8745 AERO DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231774",
            "telephone_number": "858-565-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Ocean Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112357791",
            "country_code": "US",
            "telephone_number": "718-616-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANOUF",
        "first_name": "ANASS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A22458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.