Hawanatu Fofanah, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14373 Issued in CA

Practice address

437 N Euclid Ave
Ontario, CA 91762-3456

Phone

(310) 740-2122

NPI assigned

Oct 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Global Integrated Medical Group, Inc.

  • Primary Care Nurse Practitioner
  • West Covina, CA
  • NPI 1578019485
  Medicare reassignment NPD
• Global Medical GRP Inc

  • Adolescent Medicine (Family Medicine) Physician
  • West Covina, CA
  • NPI 1629682067
  Medicare reassignment NPD
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Escondido

  • Federally Qualified Health Center (FQHC)
  • Escondido, CA
  • NPI 1598703647
  Medicare reassignment NPD
• Sameer Ohri MD Inc

  dba Innovative Care Medicine

  • Family Medicine Physician
  • Corona, CA
  • NPI 1932591724
  Medicare reassignment NPD
• Neighborhood Healthcare

  dba Neighborhood Healthcare - Beaumont

  • Federally Qualified Health Center (FQHC)
  • Beaumont, CA
  • NPI 1629601653
  NPD

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1831561448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11210 4TH ST",
            "address_2": "APT.2119",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306042",
            "telephone_number": "310-740-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623456",
            "telephone_number": "310-740-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOFANAH",
        "first_name": "HAWANATU",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacere Flowers
• Sydney Simone Flowers, LMFT 142306
• Georgina Floyd, DNP, RN
• Bryce Fluegge
• FM-Recovery LLC
• Melanie Fonseca Navarrete
• Alicia Agustina Fonseca Ortega
• Bernice Fonseca
• Sandra Fonseca
• Tristan Fontanilla

• Family Nurse Practitioner in Ontario, CA
• Providers in Ontario, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.