Salam Hasan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA16155 Issued in CA

Practice address

2255 Ygnacio Valley Rd Ste N
Walnut Creek, CA 94598-3347

Phone

(925) 944-5678

NPI assigned

Aug 18, 2015

Sex

Female

Sole proprietor

No

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1841666443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 YGNACIO VALLEY RD STE N",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983347",
            "telephone_number": "925-944-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 YGNACIO VALLEY RD STE N",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983347",
            "telephone_number": "925-944-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 Newell Hill Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945965220",
            "country_code": "US",
            "telephone_number": "925-939-4763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASAN",
        "first_name": "SALAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA16155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene Diane Harvey, OTR/L
• Jordan Harvey
• Leeann Borton Harvey, PH.D.
• Terry Lamont Harvey, M.ED
• Hannelore Harwood, NP
• Lubna S. Hasanain, MD
• Hosnia Hasani
• Safiullah Hasani
• Kate Hassel
• Dorothy L. Hassler, MD

• Medical Physician Assistant in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.