Individual provider Active NPI

Megan Elizabeth Hennessay, D.O.

  • Family Medicine Physician
  • Torrance, CA
National Provider Identifier
1568807873
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A13635 Issued in CA
Practice address
3655 Lomita Blvd Ste 307
Torrance, CA 90505-1922
Phone
(424) 235-5235
Fax
(949) 404-6987
NPI assigned
May 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A13635 CA Primary

Addresses

Primary practice location

3655 Lomita Blvd Ste 307
Torrance, CA 90505-1922

Mailing address

3655 Lomita Blvd Ste 307
Torrance, CA 90505-1922
Phone (424) 235-5235

Other practice location 1

13355 Hawthorne Blvd
Hawthorne, CA 90250-5802
Phone (310) 355-0100

Other practice location 2

4733 W Sunset Blvd
Third Floor
Los Angeles, CA 90027-6021
Phone (323) 783-4516

Other practice location 3

2382 Crenshaw Blvd Ste 5
Torrance, CA 90501-3333
Phone (310) 618-9200

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) the Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 25, 2026 through Mar 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A13635CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennessay Medical Corporation Family Medicine CurrentSince Mar 15, 2023 Accepting new patients
Providence Medical Institute Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jan 13, 2023 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Jan 13, 2023 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Providence Medical Institute Family Medicine Current Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

13355 Hawthorne Blvd
Hawthorne, CA 90250
Phone (310) 355-0100

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 322-9700

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

520 N Prospect Ave
Ste 103
Redondo Beach, CA 90277
Phone (310) 374-9646

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

1499 W 1st St
San Pedro, CA 90732
Phone (310) 241-2590

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

3524 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 316-2055

3655 Lomita Blvd
Ste 307
Torrance, CA 90505
Phone (424) 235-5235

2382 Crenshaw Blvd
Ste 5
Torrance, CA 90501
Phone (310) 618-6200

21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400

1 Quality Dr
Vacaville, CA 95688
Phone (707) 453-5000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 6

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": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1568807873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 307",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051922",
            "telephone_number": "424-235-5235",
            "fax_number": "949-404-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 LOMITA BLVD STE 307",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905051922",
            "telephone_number": "424-235-5235",
            "fax_number": "949-404-6987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13355 Hawthorne Blvd",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902505802",
            "country_code": "US",
            "telephone_number": "310-355-0100",
            "fax_number": "310-355-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4733 W Sunset Blvd",
            "address_2": "Third Floor",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900276021",
            "country_code": "US",
            "telephone_number": "323-783-4516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2382 Crenshaw Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905013333",
            "country_code": "US",
            "telephone_number": "310-618-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNESSAY",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "the Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "115 Central Ave",
            "city": "Alameda",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945013244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.