Marland Abe Hansen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G13797 Issued in CA

Practice address

812 E D St
Lemoore, CA 93245-9545

Phone

(559) 925-1000

Fax

(559) 925-1084

NPI assigned

Jun 28, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Health Valley Medical Group Inc

  • Family Medicine Physician
  • Lemoore, CA
  • NPI 1114028610
  NPD
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • San Andreas, CA
  • NPI 1366519431
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1568469138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2068 TALBERT DR",
            "address_2": "STE 150",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287723",
            "telephone_number": "530-809-0009",
            "fax_number": "530-809-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 E D ST",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932459545",
            "telephone_number": "559-925-1000",
            "fax_number": "559-925-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MARLAND",
        "middle_name": "ABE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G13797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG137971",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert G Guion, D.O
• Allison Jean Gutierrez, MD
• Laura Alyssa Hain, D.M.D.
• Dusty Shane Hammond
• Matthew Garrett Hanley, M.D.
• Irene Hanson
• Hayley Danielle Hatherly, DO
• Krystal Marie Haubenchild, BCBA
• Heather Hauck, MD
• Health Valley Medical Group Inc

• Family Medicine Physician in Lemoore, CA
• Providers in Lemoore, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.