Organization Active NPI

Hanna Health Clinic

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1497416416
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HANNA HEALTH CLINIC
Practice address
2017 Pinto LN
Las Vegas, NV 89106-4018
Phone
(702) 542-5868
Fax
(725) 251-2461
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Authorized official

Name
Dr. Roxana Naomi Tejada Jitsuya, M.DNPI 1932361904
Title
Medical Director
Phone
(702) 542-5868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2017 Pinto LN
Las Vegas, NV 89106-4018

Mailing address

2017 Pinto LN
Las Vegas, NV 89106-4018
Phone (702) 542-5868

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL HANNAHEALTH Direct

National Provider Directory

National Provider Directory

Locations

2017 Pinto Ln
Las Vegas, NV 89106
Phone (702) 333-2620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1497416416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 PINTO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064018",
            "telephone_number": "702-542-5868",
            "fax_number": "725-251-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 PINTO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064018",
            "telephone_number": "702-542-5868",
            "fax_number": "725-251-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNA HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "TEJADA JITSUYA",
        "authorized_official_first_name": "ROXANA",
        "authorized_official_middle_name": "NAOMI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-542-5868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HANNAHEALTH",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2017 Pinto Ln",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891064018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.