Individual provider Active NPI

Jacqueline Lezine-Hanna, MD

  • Orthopaedic Hand Surgery Physician
  • Marina del Rey, CA
National Provider Identifier
1336116854
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
G80690 Issued in CA
Practice address
4644 Lincoln Blvd
Suite 101
Marina del Rey, CA 90292-6313
Phone
(310) 577-8500
Fax
(310) 577-8507
NPI assigned
Mar 2, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X G80690 CA Primary

Addresses

Primary practice location

4644 Lincoln Blvd
Suite 101
Marina del Rey, CA 90292-6313

Mailing address

4644 Lincoln Blvd
Suite 101
Marina del Rey, CA 90292-6313
Phone (310) 577-8500

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
I20070915000268 CA Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 2860586245 Reassigns benefits to 1 organization
Practice locations: Downey, CA; Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
University of Southern California Keck School of Medicine, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1670 E 120TH St
Los Angeles, CA 90059-3026

8555 Florence Ave
Downey, CA 90240-4014
Phone (562) 923-9351

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80690CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jan 29, 2026 Accepting new patients
DSC Associates, LLC CurrentSince Aug 1, 2016 Accepting new patients
County of Los Angeles CurrentSince Jan 29, 2026 Accepting new patients
RJ Physical Therapy Group Inc PastSince Jan 26, 2021 Accepting new patients
Stevenson Orthopaedic Medical Clinic Orthopaedic Surgery PastSince May 10, 2015 Accepting new patients

Locations

1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240

8555 Florence Ave
Downey, CA 90240
Phone (562) 862-9350

1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jacqueline.lezinehanna@3856.securemail.prognocis.com
  • Direct secure messaging: jacqueline.lezinehanna@4005.securemail.prognocis.com

Organizations & group practices 5

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 2

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336116854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD",
            "address_2": "SUITE 101",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926313",
            "telephone_number": "310-577-8500",
            "fax_number": "310-577-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD",
            "address_2": "SUITE 101",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926313",
            "telephone_number": "310-577-8500",
            "fax_number": "310-577-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEZINE-HANNA",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G80690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.