Individual provider Active NPI

Robert Kevin Hanson, M.D.

  • Internal Medicine Physician
  • West Hills, CA
National Provider Identifier
1447213616
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G62711 Issued in CA
Practice address
7345 Medical Center Dr
Suite 220
West Hills, CA 91307-1910
Phone
(818) 225-1617
Fax
(818) 225-1620
NPI assigned
Apr 10, 2006
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G62711 CA Primary

Addresses

Primary practice location

7345 Medical Center Dr
Suite 220
West Hills, CA 91307-1910

Mailing address

7345 Medical Center Dr
Suite 220
West Hills, CA 91307-1910
Phone (818) 225-1617

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
I20120206000644 CA Practitioner - Internal Medicine 0042215931 Reassigns benefits to 1 organization
Practice locations: Woodland Hills, CA; West Hills, CA; Thousand Oaks, CA; Canoga Park, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 797-2727

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allure Medical Group a Professional Corporation CurrentSince Jun 26, 2017 Accepting new patients
West Hills Hospital Past Accepting new patients
H Norman Xu M D Inc Internal Medicine PastSince Apr 4, 2003 Accepting new patients
Private Medical Group Internal Medicine PastSince Jan 2, 2001 Accepting new patients

Locations

501 S Reino Rd
Ste 200
Newbury Park, CA 91320

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

Organizations & group practices 4

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1447213616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR",
            "address_2": "SUITE 220",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071910",
            "telephone_number": "818-225-1617",
            "fax_number": "818-225-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DR",
            "address_2": "SUITE 220",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071910",
            "telephone_number": "818-225-1617",
            "fax_number": "818-225-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "ROBERT",
        "middle_name": "KEVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G62711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.