Active NPI
Ehab Gamil Hanna, M.D.
- Psychiatry Physician
- Norwalk, CA
National Provider Identifier
1972500403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A86056
- Practice address
- 11401 South Bloomfield Ave.
Norwalk, CA 90650 - Phone
- (562) 863-7011
- Fax
- (562) 864-4560
- NPI assigned
- Jun 30, 2005
- Reactivated
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A86056 | CA | Primary |
Addresses
Primary practice location
11401 South Bloomfield Ave.
Norwalk, CA 90650
Mailing address
11401 Bloomfield Ave
Norwalk, CA 90650-2015
Phone (562) 863-7011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A86056 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86056 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sameh Elsanadi MD,Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Geriatric Psychiatry Physician
- Irvine, CA
- NPI 1396881207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1972500403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11401 BLOOMFIELD AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502015",
"telephone_number": "562-863-7011",
"fax_number": "562-864-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11401 SOUTH BLOOMFIELD AVE.",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-863-7011",
"fax_number": "562-864-4560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "EHAB",
"middle_name": "GAMIL",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2015-08-03",
"deactivation_date": "2006-03-17",
"reactivation_date": "2006-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A86056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A86056",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.