Active NPI
Gail Carol Hansen, MD
- Diagnostic Radiology Physician
- Sylmar, CA
National Provider Identifier
1841208444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G25205
- Practice address
- 14445 Olive View Dr
Room 2D139 Olive View UCLA Medical Center
Sylmar, CA 91342 - Phone
- (818) 364-4076
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G25205 | CA | Primary |
Addresses
Primary practice location
14445 Olive View Dr
Room 2D139 Olive View UCLA Medical Center
Sylmar, CA 91342
Mailing address
14445 Olive View Dr
Room 2D139 Olive View UCLA Medical Center
Sylmar, CA 91342
Phone (818) 364-4076
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130624000102 | CA | Order and Referring Only - Diagnostic Radiology | 1557396223 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841208444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14445 OLIVE VIEW DR",
"address_2": "ROOM 2D139 OLIVE VIEW UCLA MEDICAL CENTER",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-364-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14445 OLIVE VIEW DR",
"address_2": "ROOM 2D139 OLIVE VIEW UCLA MEDICAL CENTER",
"city": "SYLMAR",
"state": "CA",
"postal_code": "91342",
"telephone_number": "818-364-4076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "GAIL",
"middle_name": "CAROL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G25205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.