Individual provider Active NPI

Harrison Hasanuddin, D.O.

  • Sleep Medicine (Family Medicine) Physician
  • Monterey Park, CA
National Provider Identifier
1790165785
Registry record updated Jun 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
20A16309 Issued in CA
Practice address
420 N Garfield Ave Ste 203
Monterey Park, CA 91754-1206
Phone
(626) 763-1899
Fax
(626) 547-4438
NPI assigned
Jun 4, 2015
Last updated
Jun 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A16309 CA
Obesity Medicine (Family Medicine) Physician 207QB0002X 20A16309 CA
Sleep Medicine (Family Medicine) Physician 207QS1201X 20A16309 CA Primary

Addresses

Primary practice location

420 N Garfield Ave Ste 203
Monterey Park, CA 91754-1206

Mailing address

420 N Garfield Ave Ste 203
Monterey Park, CA 91754-1206
Phone (626) 763-1899

Other practice location 1

333 1st St Ste A
San Francisco, CA 94105-2661
Phone (888) 803-3370

Other practice location 2

415 N Crescent Dr Ste 320
Beverly Hills, CA 90210-6813
Phone (888) 803-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190102002289 CA Practitioner - Family PracticePractitioner - Sleep Medicine 8729376405 Reassigns benefits to 2 organizations
I20250527001045 IL Practitioner - Sleep Medicine 8729376405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sleep Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sleep Reset Medical Group of California PCGroup PAC ID 7719400191, 5 clinicians
Sleep Reset Medical Group PAGroup PAC ID 9638699291, 11 clinicians

Practice addresses (Care Compare)

1 Hawthorne St
Unit 2C
San Francisco, CA 94105-3976
Phone (862) 235-4743

332 S Michigan Ave
Suite 900
Chicago, IL 60604-4393
Phone (862) 235-4743

420 N Garfield Ave
Suite 203
Monterey Park, CA 91754-1206
Phone (626) 763-1899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
16309CAMDAcupuncturist
20A16309CAMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Reset Medical Group PA Sleep Medicine CurrentSince Mar 17, 2025 Accepting new patients
Harrison Hasanuddin, D.O., Inc. Family Medicine CurrentSince Jul 13, 2023 Accepting new patients
Comfort Sleep Clinic Inc CurrentSince Jan 1, 2024 Accepting new patients
Sleep Reset Medical Group of California PC Sleep Medicine CurrentSince Mar 16, 2025 Accepting new patients
Comfort Sleep Clinic Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1336 W Valley Blvd
Ste A
Alhambra, CA 91803
Phone (626) 281-2232

420 N Garfield Ave
Ste 203
Monterey Park, CA 91754
Phone (626) 569-9983

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750550400000",
    "number": "1790165785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N GARFIELD AVE STE 203",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541206",
            "telephone_number": "626-763-1899",
            "fax_number": "626-547-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N GARFIELD AVE STE 203",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541206",
            "telephone_number": "626-763-1899",
            "fax_number": "626-547-4438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052661",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N Crescent Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902106813",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASANUDDIN",
        "first_name": "HARRISON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2025-06-22",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16309",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CA",
            "license": "20A16309",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CA",
            "license": "20A16309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.