Individual provider Active NPI

Thomas Hanson, M.D.

  • General Practice Physician
  • Pasadena, CA
National Provider Identifier
1609811686
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A45493 Issued in CA
Practice address
155 N Lake Ave
Ste 800
Pasadena, CA 91101-1857
Phone
(818) 395-8561
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A45493 CA Primary

Addresses

Primary practice location

155 N Lake Ave
Ste 800
Pasadena, CA 91101-1857

Mailing address

155 N Lake Ave
Ste 800
Pasadena, CA 91101-1857
Phone (714) 892-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040227000513 CA Practitioner - General Practice 4688560329 Practice locations: Pasadena, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45493CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Seymour Weaver MD Inc Past Accepting new patients
Ronald Seymour Weaver MD Inc. Past Accepting new patients
GCC Imaging, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thomas.hanson@4005.securemail.prognocis.com

Organizations & group practices 3

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1609811686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N LAKE AVE",
            "address_2": "STE 800",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011857",
            "telephone_number": "714-892-2333",
            "fax_number": "714-892-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N LAKE AVE",
            "address_2": "STE 800",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011857",
            "telephone_number": "818-395-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A45493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.