Active NPI
Hanson Medical Group, Inc.
- Family Medicine Physician
- Arcadia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A31993
- Legal business name
- HANSON MEDICAL GROUP, INC.
- Practice address
- 624 W Duarte Rd
Suite 103
Arcadia, CA 91007-7603 - Phone
- (626) 294-2070
- Fax
- (626) 294-2076
- NPI assigned
- Jan 23, 2007
- Last updated
- Aug 22, 2020
- 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
- Dr. Durdana Gilani, M.D.
- Title
- President
- Phone
- (626) 294-2070
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A31993 | CA | Primary |
Addresses
Primary practice location
624 W Duarte Rd
Suite 103
Arcadia, CA 91007-7603
Mailing address
624 W Duarte Rd
Suite 103
Arcadia, CA 91007-7603
Phone (626) 294-2070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A319930 | Medicaid | CA | |
| ZZZ49871Z | Other | CA | BLUE SHIELD |
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 |
|---|---|---|---|
| 05D0990419 | Hanson Medical Group Inc | Certificate of waiver | Oct 27, 2027 |
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Arcadia, CA
- NPI 1538214408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730234717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 W DUARTE RD",
"address_2": "SUITE 103",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077603",
"telephone_number": "626-294-2070",
"fax_number": "626-294-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 W DUARTE RD",
"address_2": "SUITE 103",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077603",
"telephone_number": "626-294-2070",
"fax_number": "626-294-2076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANSON MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GILANI",
"authorized_official_first_name": "DURDANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-294-2070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A31993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A319930",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ49871Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.