Individual provider Active NPI

Laila Hanna, M.D.

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1942348255
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A52175 Issued in CA
Practice address
1911 W Glenoaks Blvd
Glendale, CA 91201-4744
Phone
(818) 843-6640
Fax
(818) 843-0347
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A52175 CA Primary

Addresses

Primary practice location

1911 W Glenoaks Blvd
Glendale, CA 91201-4744

Mailing address

1911 W Glenoaks Blvd
Glendale, CA 91201-4744
Phone (818) 843-6640

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110110000619 CA Practitioner - Internal Medicine 8022150150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1911 W Glenoaks BL B
Glendale, CA 91201-4746
Phone (818) 843-6640

Hospital & facility affiliations

  • My Choice Hospice Inc Hospice, Palmdale, CA, CCN B21507
  • United Alliance Hospice Care, Inc Hospice, Lancaster, CA, CCN B31647
  • Tender Loving Hospice Care, Inc Hospice, Pasadena, CA, CCN B21510
  • Pristine Hospice Care Hospice, Burbank, CA, CCN 921755
  • American Hospice, Inc. Hospice, Burbank, CA, CCN 551770
  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
  • Glendale Healthcare Center Nursing home, Glendale, CA, CCN 555609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A52175CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenoaks Medical Center, Inc. Internal Medicine CurrentSince Aug 1, 2000 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Dignity Health Past Accepting new patients
Elite Family Medicine Past Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

1911 W Glenoaks Blvd
Ste B
Glendale, CA 91201
Phone (818) 843-6640

1911 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 843-6640

Interoperability endpoints

  • Direct secure messaging: laila.hanna.1@21900.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JCBCBD
  • FHIR API: https://api.platform.athenahealth.com/21900/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Glendale Healthcare CenterGlendale, CA, CCN 555609 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 13, 2014
Jan 13, 2014
Pristine Hospice CareBurbank, CA, CCN 921755 Hospice Contracted Managing Employee Apr 6, 2017
United Alliance Hospice Care, Inc.Lancaster, CA, CCN B31647 Hospice Contracted Managing Employee Jul 8, 2019
My Choice Hospice Inc.Palmdale, CA, CCN B21507 Hospice W-2 Managing Employee Apr 1, 2025
New Spring Hospice Care IncWinnetka, CA, CCN D61569 Hospice W-2 Managing Employee Aug 1, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1942348255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014744",
            "telephone_number": "818-843-6640",
            "fax_number": "818-843-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 W GLENOAKS BLVD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912014744",
            "telephone_number": "818-843-6640",
            "fax_number": "818-843-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "LAILA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.