K Hannani, MD Inc

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

A061933 Issued in CA

Legal business name

K HANNANI, MD INC

Doing business as

Spine Specialty Institute

Practice address

1135 S Sunset Ave Ste 209
West Covina, CA 91790-3938

Phone

(626) 939-5900

Fax

(626) 939-0211

NPI assigned

Dec 1, 2006

Last updated

Sep 30, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kambiz Hannani, MDNPI 1083782478

Title

President

Phone

(626) 939-5900

Specialties & licenses 1

Addresses

Other names 1

• Spine Specialty Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kambiz Hannani, MD

  • Orthopaedic Surgery of the Spine Physician
  • West Covina, CA
  • NPI 1083782478
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1518035914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 209",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903938",
            "telephone_number": "626-939-5900",
            "fax_number": "626-939-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 209",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903938",
            "telephone_number": "626-939-5900",
            "fax_number": "626-939-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K HANNANI, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "HANNANI",
        "authorized_official_first_name": "KAMBIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-939-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "A061933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Specialty Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Donald D. Kaiserman, M.D.
• Kevin Bradley Kaiserman, MD

• Orthopaedic Surgery of the Spine Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Orthopaedic Surgery of the Spine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.