Ibrahim Hanna, M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A50259 Issued in CA

Legal business name

IBRAHIM HANNA, M.D., INC.

Practice address

640 W. Foothill Blvd.
Suite 100
Glendora, CA 91741-2403

Phone

(626) 335-4041

Fax

(626) 335-3768

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Patricia Hanna

Title

Office Manager

Phone

(626) 335-4041

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ibrahim Issa Hanna, M.D.

  • Internal Medicine Physician
  • Glendora, CA
  • NPI 1407898653
  Medicare reassignment NPD
• Kimberly Pham, PA-C

  • Physician Assistant
  • Glendora, CA
  • NPI 1609673623
  Medicare reassignment NPD
• Cristina G Christopher, PAC

  • Internal Medicine Physician
  • Glendora, CA
  • NPI 1235378613
  Medicare reassignment

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1922316751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 W. FOOTHILL BLVD.",
            "address_2": "SUITE 100",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412403",
            "telephone_number": "626-335-4041",
            "fax_number": "626-335-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W. FOOTHILL BLVD.",
            "address_2": "SUITE 100",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917412403",
            "telephone_number": "626-335-4041",
            "fax_number": "626-335-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM HANNA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-335-4041"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110238745",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A502591",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DR4687",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Lo Hunter, AGACNP
• Charlene I Hurdle
• Rebeca Marcela Hurtado, MSW
• Mark Jay Hyer, D.D.S.
• I Ching Acupuncture Center
• Ibrahim Irawan DDS
• Idan Home Health Inc
• Iftikhar Ali Khan, DDS, Inc
• Angelica M Imbriani, FNP
• In Service of Smiles, LLC

• Internal Medicine Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.