Shaza Hanafy Hummel, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95009218 Issued in CA

Practice address

11945 Magnolia Unit 102
Valley Village, CA 91607

Phone

(818) 303-1753

Fax

(818) 518-9017

NPI assigned

Aug 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Amae Health Services LLC

  • Adult Mental Health Clinic/Center
  • Los Angeles, CA
  • NPI 1902594005
  NPD (past)

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

{
    "created_epoch": "1596240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1326658642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD # 396329",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109",
            "telephone_number": "818-303-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11945 MAGNOLIA UNIT 102",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "91607",
            "telephone_number": "818-303-1753",
            "fax_number": "818-518-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMEL",
        "first_name": "SHAZA",
        "middle_name": "HANAFY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-01",
        "last_updated": "2024-01-22",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "864715",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996547-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "1041152",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alphina Holovchenko
• Gregory W. Holve, D.D.S.
• Hovsep Nargizyan Professional Dental Corp
• Nelli Hovsepyan, NP
• Amelia Hoyle
• Samvel Hrachy Hunanian, DDS
• Destiny Reyna Hunnicutt
• Iam & Co Inc
• Infinity Hospice Services, LLC.
• Infinity Professional Services Inc

• Family Nurse Practitioner in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.