Individual provider Active NPI

Mary Hannah Veal, PA-C

  • Physician Assistant
  • Hollywood, CA
National Provider Identifier
1740565449
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
21928 Issued in CA
Practice address
6430 Selma Ave
Hollywood, CA 90028-7311
Phone
(323) 848-4522
NPI assigned
Oct 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 21928 CA Primary

Addresses

Primary practice location

6430 Selma Ave
Hollywood, CA 90028-7311

Mailing address

6430 Selma Ave
Hollywood, CA 90028-7311
Phone (323) 848-4522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21928CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
The Berkeley Clinic, Inc PastSince Mar 23, 2022 Accepting new patients
Hollywood Walk in Clinic Past Accepting new patients

Organizations & group practices 2

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": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1740565449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 SELMA AVE",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "900287311",
            "telephone_number": "323-848-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6430 SELMA AVE",
            "city": "HOLLYWOOD",
            "state": "CA",
            "postal_code": "900287311",
            "telephone_number": "323-848-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAL",
        "first_name": "MARY",
        "middle_name": "HANNAH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "21928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.