Individual provider Active NPI

Sandra Sunny Hah, M.D.

  • Psychiatry Physician
  • Manhattan Beach, CA
National Provider Identifier
1437329869
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
517877 Issued in CA
Practice address
1000 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266-5973
Phone
(310) 372-9900
NPI assigned
Feb 29, 2008
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 517877 CA Primary

Addresses

Primary practice location

1000 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266-5973

Mailing address

1000 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266-5973
Phone (310) 372-9900

Other practice location 1

2020 Zonal Ave
Dept. of Psychiatry rm 708
Los Angeles, CA 90089-0121
Phone (323) 226-5612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
517877CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Wilkman, NP Psychiatric Nursing, Remedium Inc Psychiatry CurrentSince Nov 22, 2020 Accepting new patients
Tri-City Mental Health Center Past Accepting new patients

Locations

1000 N Sepulveda Blvd
Ste 210
Manhattan Beach, CA 90266
Phone (310) 372-9900

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1437329869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N SEPULVEDA BLVD STE 210",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665973",
            "telephone_number": "310-372-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N SEPULVEDA BLVD STE 210",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665973",
            "telephone_number": "310-372-9900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Zonal Ave",
            "address_2": "Dept. of Psychiatry rm 708",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900890121",
            "country_code": "US",
            "telephone_number": "323-226-5612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAH",
        "first_name": "SANDRA",
        "middle_name": "SUNNY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "517877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.