Individual provider Active NPI

Mary Cecilia Hannon, MD

  • Emergency Medicine Physician
  • Torrance, CA
National Provider Identifier
1275824518
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A123928 Issued in CA
Practice address
2900 Lomita Blvd
Torrance, CA 90505-5102
Phone
(301) 784-3740
NPI assigned
Apr 20, 2011
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A123928 CA Primary

Addresses

Primary practice location

2900 Lomita Blvd
Torrance, CA 90505-5102

Mailing address

3 Stratford
Manhattan Beach, CA 90266-7224
Phone (703) 774-4850

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
I20130813000508 CA Practitioner - Emergency Medicine 5991966350 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

435 N Roxbury Dr
Suite 207
Beverly Hills, CA 90210-5004
Phone (310) 362-3099

855 Manhattan Beach Blvd
Suite 101
Manhattan Beach, CA 90266-4975
Phone (310) 939-7873

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A123928CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc CurrentSince Dec 15, 2014 Accepting new patients
Redondo Emergency Physicians, Inc. Emergency Medicine CurrentSince Jul 16, 2013 Accepting new patients
Centinela Freeman Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Jun 10, 2013 Accepting new patients
Mary Hannon MD PC CurrentSince May 29, 2018 Accepting new patients
Michael Hannon MD PC PastSince Nov 12, 2023 Accepting new patients
New York Westchester SQ Med Ctr Past Accepting new patients

Locations

435 N Roxbury Dr
Ste 207
Beverly Hills, CA 90210
Phone (310) 362-3099

99 N La Cienega Blvd
Ste 304
Beverly Hills, CA 90211
Phone (310) 362-3088

2110 E El Segundo Blvd
Ste 100
El Segundo, CA 90245
Phone (310) 517-7010

1145 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 532-4200

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

855 Manhattan Beach Blvd
Ste 101
Manhattan Beach, CA 90266
Phone (310) 257-0508

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

2900 Lomita Blvd
Torrance, CA 90505
Phone (310) 257-7260

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHIGBD

Organizations & group practices 6

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 1

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1275824518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STRATFORD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902667224",
            "telephone_number": "703-774-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOMITA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055102",
            "telephone_number": "301-784-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "MARY",
        "middle_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A123928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.