Individual provider Active NPI

Eileen Hahn, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Walnut Creek, CA
National Provider Identifier
1861370264
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1399 Ygnacio Valley Rd Ste 11D
Walnut Creek, CA 94598-2874
Phone
(925) 357-9033
NPI assigned
Aug 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1399 Ygnacio Valley Rd Ste 11D
Walnut Creek, CA 94598-2874

Mailing address

1154 Lake Point Way
Suwanee, GA 30024-8485
Phone (678) 577-4532

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251123000064 CA Practitioner - Physician Assistant 1153813514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1399 Ygnacio Valley Rd
Suite 11D
Walnut Creek, CA 94598-2893

2637 Shadelands Dr
Walnut Creek, CA 94598-2512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
67058CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jan 5, 2026 Accepting new patients
Bass Medical Group CurrentSince Jan 5, 2026 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

1399 Ygnacio Valley Rd
Ste 11D
Walnut Creek, CA 94598
Phone (925) 357-9033

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1756080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1861370264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 LAKE POINT WAY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248485",
            "telephone_number": "678-577-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 YGNACIO VALLEY RD STE 11D",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982874",
            "telephone_number": "925-357-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "EILEEN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-25",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.