Active NPI
Hana Holistic Medical Center
- Internal Medicine Physician
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 73394
- Legal business name
- HANA HOLISTIC MEDICAL CENTER
- Practice address
- 2107 Channing Way
Berkeley, CA 94704-2020 - Phone
- (510) 527-1678
- Fax
- (510) 527-1848
- NPI assigned
- Feb 4, 2015
- 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
- Anas Hana, MD
- Title
- President
- Phone
- (510) 527-1678
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 73394 | CA | Primary |
Addresses
Primary practice location
2107 Channing Way
Berkeley, CA 94704-2020
Mailing address
2107 Channing Way
Berkeley, CA 94704-2020
Phone (510) 527-1678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA161667 | Other | CA | PTAN |
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 |
|---|---|---|---|
| 05D2107195 | Hana Holistic Medical Center | Provider-performed microscopy | Jan 6, 2028 |
National Provider Directory
National Provider DirectoryLocations
2107 Channing Way
Berkeley, CA 94704
Phone (510) 527-1678
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1811076557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445299200000",
"number": "1588054076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 CHANNING WAY",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042020",
"telephone_number": "510-527-1678",
"fax_number": "510-527-1848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 CHANNING WAY",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042020",
"telephone_number": "510-527-1678",
"fax_number": "510-527-1848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANA HOLISTIC MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-04",
"last_updated": "2015-10-20",
"status": "A",
"authorized_official_last_name": "HANA",
"authorized_official_first_name": "ANAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-527-1678",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "73394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "CA161667",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.