Individual provider Active NPI

Hana Danish

  • Physician Assistant
  • Vallejo, CA
National Provider Identifier
1659946499
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA62903 Issued in CA
Practice address
1310 Club Dr
Vallejo, CA 94592-1187
Phone
(707) 638-5809
NPI assigned
May 24, 2021
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA62903 CA Primary

Addresses

Primary practice location

1310 Club Dr
Vallejo, CA 94592-1187

Mailing address

621 Tisdale Ave
Vallejo, CA 94592-1124
Phone (313) 318-1326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230910000078 CA Practitioner - Physician Assistant 2163886185 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1411 Berryessa Rd
Suite 30
San Jose, CA 95133-1014
Phone (408) 785-6344

1760 S Bascom Ave
Suite 140
Campbell, CA 95008-0638
Phone (408) 214-9732

2712 Augustine Dr
Suite 120
Santa Clara, CA 95054-2941
Phone (408) 780-2542

377 Santana Row
Suite 1180
San Jose, CA 95128-2061
Phone (669) 247-4773

5120 Cherry Ave
Suite 20
San Jose, CA 95118-3786
Phone (408) 780-2532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62903CAMDMarriage & Family Therapist
PA62903CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Apr 16, 2025 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Feb 5, 2025 Accepting new patients
Cep America-California CurrentSince Apr 16, 2025 Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206

1411 Berryessa Rd
Ste 30
San Jose, CA 95133
Phone (408) 689-7020

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

377 Santana Row
Ste 1180
San Jose, CA 95128
Phone (669) 247-4773

5120 Cherry Ave
Ste 20
San Jose, CA 95118
Phone (408) 780-2532

2712 Augustine Dr
Ste 120
Santa Clara, CA 95054
Phone (408) 780-2542

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1659946499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 TISDALE AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945921124",
            "telephone_number": "313-318-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CLUB DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945921187",
            "telephone_number": "707-638-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANISH",
        "first_name": "HANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.