Janessa J Hawara, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA58619 Issued in CA

Practice address

5901 W Olympic Blvd Ste 505
Los Angeles, CA 90036-4670

Phone

(323) 930-2324

Fax

(323) 930-2497

NPI assigned

Oct 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Care Connect Medical Group

  • Primary Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1134669971
  Medicare reassignment
• Premiere Medical Center of Burbank, Inc.

  • Internal Medicine Physician
  • Toluca Lake, CA
  • NPI 1831329218
  Medicare reassignment
• Nassir Medical Corporation

  • Hematology & Oncology Physician
  • Los Angeles, CA
  • NPI 1528150562
  NPD

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1346849007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 N NIAGARA ST APT B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915043281",
            "telephone_number": "818-967-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 W OLYMPIC BLVD STE 505",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364670",
            "telephone_number": "323-930-2324",
            "fax_number": "323-930-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWARA",
        "first_name": "JANESSA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine J. Haviland, MS,OTR
• Isabel Haviland, MD
• Simone Havisward
• Abraham Havivi, M.D.
• Leif Anders Havton, MD
• Debra Hawes, M.D.
• Haley Tarryn Hawes, DPT
• Perris N Hawes
• Katie Elizabeth Hawk, MD
• Ashley Hawkes

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.