Mikal Demar Hasan

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

436 Phoenix Cir
Vallejo, CA 94589-3529

Phone

(415) 601-9220

NPI assigned

Oct 7, 2025

Last updated

Oct 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1700751013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 PHOENIX CIR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945893529",
            "telephone_number": "415-601-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 PHOENIX CIR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945893529",
            "telephone_number": "415-601-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAN",
        "first_name": "MIKAL",
        "middle_name": "DEMAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Hartfield-Dyels, M.DIV
• Kristen L Hartley, MD
• Harvest House Transitional Residence, Inc.
• Diana Harvey
• Husni N. Hasan, MD
• Russell Hatch, CCMA
• Susan Hattori-Oyama, MD
• Stephanie Hausle, PT
• Stephen Haynam
• H. Scott Haynes, MD

• Case Manager/Care Coordinator in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.