Robert Kevin Hanson, M.D.
Individual provider Active NPI Internal Medicine Physician · West Hills, CA
NPI 1447213616 · NPPES record last updated Jul 28, 2016
Key facts
- NPI
- 1447213616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- G62711 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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
- Vitas Healthcare Corporation of California
- UCLA West Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allure Medical Group a Professional Corporation | Current |
Accepting new patients | |
| West Hills Hospital | Past | Accepting new patients | |
| Private Medical Group | Internal Medicine | Past |
Accepting new patients |
| H Norman Xu M D Inc | Internal Medicine | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G62711 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G62711 | Other | CA | STATE LICENSE |
Other providers in West Hills, CA
- Mahsa Hamedani-Chadorchi
- Elesia Hampton
- Ethan Qilong Han
- Hand Therapy
- Hanita Sidana, DMD, Inc.
- Mersedeh Hashemian
- Anthony N Hatam
- Ramin R Hatami
- Healing Minds Inc
- Healing Touch Physical Therapy & Fitness
All providers in West Hills, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.