Individual provider Active NPI

E. A. Hankins III, M.D.

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1770663502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G11159 Issued in CA
Practice address
1515 N Vermont Ave Soca Perm Med Group
5TH Floor Dermatology
Los Angeles, CA 90027
Phone
(323) 783-4162
Fax
(323) 783-4646
NPI assigned
Oct 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G11159 CA Primary

Addresses

Primary practice location

1515 N Vermont Ave Soca Perm Med Group
5TH Floor Dermatology
Los Angeles, CA 90027

Mailing address

9526 La Tuna Canyon Rd
Sun Valley, CA 91352-2230
Phone (818) 767-5457

Other names 1

  • Dr. Billy Hankins Other name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G11159CAMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770663502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 LA TUNA CANYON RD",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522230",
            "telephone_number": "818-767-5457",
            "fax_number": "323-783-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N VERMONT AVE SOCA PERM MED GROUP",
            "address_2": "5TH FLOOR DERMATOLOGY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-783-4162",
            "fax_number": "323-783-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKINS",
        "first_name": "E.",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G11159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLY",
            "last_name": "HANKINS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.