Individual provider Active NPI

Pamela Lynne Hanseth, NP

  • Nurse Practitioner
  • Garden Grove, CA
National Provider Identifier
1356720247
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95003169 Issued in CA
Practice address
12062 Valley View St Ste 140
Garden Grove, CA 92845-1777
Phone
(714) 406-5208
Fax
(714) 908-7521
NPI assigned
May 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 727472 CA
Nurse Practitioner 363L00000X 95003169 CA Primary

Addresses

Primary practice location

12062 Valley View St Ste 140
Garden Grove, CA 92845-1777

Mailing address

12062 Valley View St Ste 140
Garden Grove, CA 92845-1777
Phone (714) 406-5208

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160331002019 CA Practitioner - Nurse Practitioner 8123325412 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centered Care Wellness CurrentSince Jun 1, 2025 Accepting new patients
Chest and Critical Care Consultants CurrentSince Feb 1, 2016 Accepting new patients
Chest and Critical Care Consultants a Medical Group Nurse Practitioner CurrentSince Feb 1, 2016 Accepting new patients

Locations

1211 W La Palma Ave
Ste 207
Anaheim, CA 92801
Phone (714) 772-8282

999 N Tustin Ave
Ste 1
Santa Ana, CA 92705
Phone (714) 836-6800

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

Interoperability endpoints

  • Direct secure messaging: pamela.hanseth.1@32122.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1356720247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST STE 140",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451777",
            "telephone_number": "714-406-5208",
            "fax_number": "714-908-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW ST STE 140",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451777",
            "telephone_number": "714-406-5208",
            "fax_number": "714-908-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSETH",
        "first_name": "PAMELA",
        "middle_name": "LYNNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "727472",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95003169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.