Individual provider Active NPI

Andrew Hanna, D.O.

  • Interventional Pain Medicine Physician
  • Los Alamitos, CA
National Provider Identifier
1972042620
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
18051 Issued in CA
Practice address
3662 Katella Ave Ste 117
Los Alamitos, CA 90720-3174
Phone
(310) 507-7984
NPI assigned
Feb 14, 2017
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 18051 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 18051 CA
Pain Medicine Physician 208VP0000X 18051 CA
Interventional Pain Medicine Physician 208VP0014X 18051 CA Primary

Addresses

Primary practice location

3662 Katella Ave Ste 117
Los Alamitos, CA 90720-3174

Mailing address

3662 Katella Ave Ste 117
Los Alamitos, CA 90720-3174
Phone (310) 507-7984

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
I20220802000816 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2062812886 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Sports and Spine IncGroup PAC ID 7012230212, 24 clinicians
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians

Practice addresses (Care Compare)

2625 E 4TH St
Long Beach, CA 90814-1205
Phone (562) 997-2172

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 728-5034

400 Newport Ctr Dr
Suite 609
Newport Beach, CA 92660-7695
Phone (949) 760-0398

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18051CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
United Medical Doctors CurrentSince May 17, 2024 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients
United Medical Doctors CurrentSince May 17, 2024 Accepting new patients
Axios Medical Group Inc Physical Medicine & Rehabilitation CurrentSince Nov 1, 2022 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Aug 1, 2025 Accepting new patients
RH Spine and Pain Institute, Professional Corporation Physical Medicine & Rehabilitation CurrentSince Jul 1, 2026 Accepting new patients
Planet Pain Medical Group Inc Physical Medicine & Rehabilitation PastSince Jul 1, 2026 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Past Accepting new patients

Locations

1130 W La Palma Ave
Anaheim, CA 92801
Phone (714) 772-7480

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

6334 Lincoln Ave
Cypress, CA 90630
Phone (310) 507-7984

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

3662 Katella Ave
Ste 117
Los Alamitos, CA 90720
Phone (310) 507-7984

3851 Katella Ave
Ste 205
Los Alamitos, CA 90720
Phone (562) 430-4449

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

5020 Campus Dr
Ste 200
Newport Beach, CA 92660
Phone (949) 757-1150

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ahanna747996@direct.memorialcare.org
  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1972042620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE STE 117",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203174",
            "telephone_number": "310-507-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 KATELLA AVE STE 117",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203174",
            "telephone_number": "310-507-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "ANDREW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "18051",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "18051",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "18051",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "18051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.