Active NPI
Iman Nabil Hanna, MD
- Psychiatry Physician
- Upland, CA
National Provider Identifier
1831247766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A55259
- Practice address
- 585N Mountain Ave B
Upland, CA 91786-8516 - Phone
- (909) 931-3388
- Fax
- (909) 931-7311
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A55259 | CA | Primary |
Addresses
Primary practice location
585N Mountain Ave B
Upland, CA 91786-8516
Mailing address
585N Mountain Ave B
Upland, CA 91786-8516
Phone (909) 931-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
585 N Mountain Ave
Suite B
Upland, CA 91786-8516
Phone (909) 931-3388
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55259 | CA | MD | Dentist |
| A55259 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Behavioral Health,Inc. | Current | Accepting new patients | |
| Pacific Clinics | Past | Accepting new patients | |
| Ashleywilliams Counseling, Inc | Past | Accepting new patients |
Locations
12602 Central Ave
Chino, CA 91710
585 N Mountain Ave
Ste B
Upland, CA 91786
Phone (909) 702-2068
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Upland, CA
- NPI 1043391295
-
- Community/Behavioral Health Agency
- Cerritos, CA
- NPI 1174807408
-
- Community/Behavioral Health Agency
- Irwindale, CA
- NPI 1821495003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440115200000",
"number": "1831247766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585N MOUNTAIN AVE B",
"city": "UPLAND",
"state": "CA",
"postal_code": "917868516",
"telephone_number": "909-931-3388",
"fax_number": "909-931-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585N MOUNTAIN AVE B",
"city": "UPLAND",
"state": "CA",
"postal_code": "917868516",
"telephone_number": "909-931-3388",
"fax_number": "909-931-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "IMAN",
"middle_name": "NABIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2015-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A55259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.