Active NPI
Mary Hannon MD PC
- Urgent Care Clinic/Center
- Beverly Hills, CA
National Provider Identifier
1932690351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MARY HANNON MD PC
- Practice address
- 99 N la Cienega Blvd Ste 304
Beverly Hills, CA 90211-2286 - Phone
- (310) 362-3099
- Fax
- (424) 355-0555
- NPI assigned
- May 21, 2018
- Last updated
- May 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Hannon, MD
- Title
- Owner
- Phone
- (703) 774-4850
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
99 N la Cienega Blvd Ste 304
Beverly Hills, CA 90211-2286
Mailing address
3 Stratford
Manhattan Beach, CA 90266-7224
Phone (703) 774-4850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Torrance, CA
- NPI 1275824518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526860800000",
"number": "1932690351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 STRATFORD",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902667224",
"telephone_number": "703-774-4850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 N LA CIENEGA BLVD STE 304",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112286",
"telephone_number": "310-362-3099",
"fax_number": "424-355-0555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY HANNON MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-21",
"status": "A",
"authorized_official_last_name": "HANNON",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-774-4850",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
- Gerardo R Martinez, MD
- Kelvin Martinez, AMFT
- Luis Eduardo Martinez, MD
- Michael Alexander Martone, PA-C
- Marvin Rapaport, M.D., Apc (Rapaport Dermatology of Beverly Hills)
- Mary Lynn Rapier, PH.D., a Psychology Corporation
- Mary Lynn Rapier, PHD a Psychology Corp
- Naomeh Mashhood, DDS
- Holaday Mason, MFT
- Masoudi Hossain Beverly Hills Children's Dental Group (Beverly Hills Children's Dental Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.