Individual provider Active NPI

Hannah Leone, PA-C

  • Physician Assistant
  • West Covina, CA
National Provider Identifier
1508572785
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
62265 Issued in CA
Practice address
1115 S Sunset Ave
West Covina, CA 91790-3940
Phone
(626) 962-4011
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 62265 CA Primary

Addresses

Primary practice location

1115 S Sunset Ave
West Covina, CA 91790-3940

Mailing address

1115 S Sunset Ave
West Covina, CA 91790-3940

Other identifiers 1

IdentifierTypeStateIssuer
0013123324OtherKAISER

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
I20230417001766 CA Practitioner - Physician Assistant 6305211749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Dermatology InstituteGroup PAC ID 2062546260, 32 clinicians

Practice addresses (Care Compare)

16465 Sierra Lakes Pkwy
Suite 275
Fontana, CA 92336-1263
Phone (909) 279-1010

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Dermatology Institute CurrentSince Dec 1, 2025 Accepting new patients
Cep America - California Current Accepting new patients
Cep America - California CurrentSince May 1, 2023 Accepting new patients

Locations

18523 Corwin Rd
Ste G
Apple Valley, CA 92307
Phone (760) 242-3376

2140 Grand Ave
Ste 260
Chino Hills, CA 91709
Phone (909) 464-9800

770 Magnolia Ave
Ste 1H
Corona, CA 92879
Phone (951) 549-9696

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

16465 Sierra Lakes Pkwy
Ste 275
Fontana, CA 92336
Phone (909) 279-1010

850 E Latham Ave
Ste 201
Hemet, CA 92543
Phone (951) 521-2800

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

25405 Hancock Ave
Ste 200
Murrieta, CA 92562
Phone (909) 698-7720

1200 California St
Ste 210
Redlands, CA 92374
Phone (909) 693-3424

1481 Ford St
Ste 102
Redlands, CA 92373
Phone (909) 793-2323

255 Terracina Blvd
Ste 205C
Redlands, CA 92373
Phone (909) 793-2323

9041 Magnolia Ave
Ste 206
Riverside, CA 92503
Phone (951) 354-0676

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1666 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (888) 700-0881

44605 Avenida de Missiones
Ste 200
Temecula, CA 92592

44605 Avenida de Missiones
Ste 202
Temecula, CA 92592
Phone (951) 446-1999

585 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 608-7546

12332 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (442) 232-4750

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1508572785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903940",
            "telephone_number": "626-962-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONE",
        "first_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "62265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "0013123324",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.