Active NPI
Hana Medical Group, Inc.
- Family Medicine Physician
- Buena Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HANA MEDICAL GROUP, INC.
- Practice address
- 8615 Knott Ave Ste 3
Buena Park, CA 90620-3886 - Phone
- (714) 527-4833
- Fax
- (714) 527-5986
- NPI assigned
- Feb 12, 2007
- Last updated
- Mar 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mercedes Blasco Samson, MD
- Title
- Administrator
- Phone
- (714) 527-4833
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
8615 Knott Ave Ste 3
Buena Park, CA 90620-3886
Mailing address
8615 Knott Ave Ste 3
Buena Park, CA 90620-3886
Phone (714) 527-4833
Other names 1
- HANA MEDICAL GROUP, INC.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0896836 | Hana Medical Group Inc | Certificate of waiver | Mar 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
12321 Carson St
Ste 2
Hawaiian Gardens, CA 90716
Phone (562) 860-9660
Practitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Buena Park, CA
- NPI 1578605226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585526400000",
"number": "1578605390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8615 KNOTT AVE STE 3",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906203886",
"telephone_number": "714-527-4833",
"fax_number": "714-527-5986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8615 KNOTT AVE STE 3",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906203886",
"telephone_number": "714-527-4833",
"fax_number": "714-527-5986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANA MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A",
"authorized_official_last_name": "SAMSON",
"authorized_official_first_name": "MERCEDES",
"authorized_official_middle_name": "BLASCO",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "714-527-4833",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HANA MEDICAL GROUP, INC.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.