Individual provider Active NPI

Madeleine Hanks

  • Pediatrics Physician
  • Larkspur, CA
National Provider Identifier
1952787616
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A158059 Issued in CA
Practice address
5 Bon Air Rd Ste 105
Larkspur, CA 94939-1137
Phone
(415) 461-0440
NPI assigned
Aug 5, 2015
Last updated
Oct 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A158059 CA Primary

Addresses

Primary practice location

5 Bon Air Rd Ste 105
Larkspur, CA 94939-1137

Mailing address

5 Bon Air Rd Ste 105
Larkspur, CA 94939-1137
Phone (415) 461-0440

Other practice location 1

747 52nd St
Oakland, CA 94609-1809
Phone (510) 428-3000

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
I20200717002942 CA Practitioner - Pediatric Medicine 8628492048 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158059CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF Pediatrics CurrentSince Jul 1, 2021 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jul 1, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2021 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jul 1, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 1, 2021 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2021 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
UCSF Health Medical Foundation CurrentSince Jul 15, 2020 Accepting new patients
Tamalpais Pediatrics Pediatrics PastSince Mar 28, 2021 Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
San Francisco, CA 94118
Phone (415) 514-3577

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: mhanks@tampeds.pcc-direct.com
  • Direct secure messaging: mhanks97829@direct-ucsfmedicalcenter.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1952787616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE 105",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391137",
            "telephone_number": "415-461-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE 105",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391137",
            "telephone_number": "415-461-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "747 52nd St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946091809",
            "country_code": "US",
            "telephone_number": "510-428-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANKS",
        "first_name": "MADELEINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A158059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

Verify at the official NPI Registry.