Kenny E. Hanna Jr., MD

Primary specialty

Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X

License

C15029 Issued in CA

Practice address

319 S Brand Blvd
Glendale, CA 91204-1701

Phone

(818) 240-0006

Fax

(818) 240-0038

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific Health Medical Group

  • Adolescent and Children Mental Health Clinic/Center
  • Glendale, CA
  • NPI 1902209992
  Medicare reassignment NPD
• Hanna Pain Relief Clinics PMC

  dba Pain Relief Clinics

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Huntington Beach, CA
  • NPI 1023782943
  NPD Authorized official
• Kenny Elias Hanna MD

  dba Extremities Surgical Institute

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1124535323
  NPD (past) Authorized official
• Fazel Chiropractic Inc

  • Chiropractor
  • Riverside, CA
  • NPI 1447826052
  NPD (past)
• Nitin J. Engineer MD Plastic Surgery PLLC

  dba Engineered Aesthetics

  • Surgery of the Hand (Surgery) Physician
  • Henderson, NV
  • NPI 1215568373
  NPD (past)
• Nitin J. Engineer, MD, LTD

  dba Extremicure Hand Center

  • Surgery of the Hand (Surgery) Physician
  • Henderson, NV
  • NPI 1407284987
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553299200000",
    "number": "1629283510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8545 W WARM SPRINGS RD STE A4-343",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133676",
            "fax_number": "702-933-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S BRAND BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041701",
            "telephone_number": "818-240-0006",
            "fax_number": "818-240-0038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7140 Smoke Ranch Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891283157",
            "country_code": "US",
            "telephone_number": "702-320-8111",
            "fax_number": "702-320-8112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "KENNY",
        "middle_name": "E.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NV",
            "license": "14660",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "C15029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hand to Home Inc
• Hands of Hope Transport LLC
• Tina Taleen Hanessian
• Jean Marie Hanley, M.D.
• Amy Hanna, OTR/L
• Laila Hanna, M.D.
• Margaret Hanna, DPT
• Rita Hanno
• Hanriet Minasian-Arakelian D O Inc
• Hansen Behavioral Health a Psychological Corporation

• Surgery of the Hand (Surgery) Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Surgery of the Hand (Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; 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.