| Joshua D Hannan, PA | |
|
5170 Sepulveda Blvd, Ste 100, Sherman Oaks, CA 91403-1171 | |
| (818) 784-3878 | |
| (818) 907-0061 |
| Full Name | Joshua D Hannan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 5170 Sepulveda Blvd, Sherman Oaks, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275786709 | NPI | - | NPPES |
| 000578400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA9104845 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua D Hannan, PA 5170 Sepulveda Blvd, Ste 100, Sherman Oaks, CA 91403-1171 Ph: (818) 784-3878 | Joshua D Hannan, PA 5170 Sepulveda Blvd, Ste 100, Sherman Oaks, CA 91403-1171 Ph: (818) 784-3878 |
Mr. Darcesean Gamble, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4955 Van Nuys Blvd Ste 411, Sherman Oaks, CA 91403 Phone: 818-784-1195 |
Mark Wood, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5000 Van Nuys Blvd Ste 205, Sherman Oaks, CA 91403 Phone: 818-850-2243 Fax: 661-360-6380 |
Heather Tran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4836 Van Nuys Blvd, Sherman Oaks, CA 91403 Phone: 818-907-7546 Fax: 818-907-9506 |
Ms. Jaclyn Sonia Agopian, MPAP, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4836 Van Nuys Blvd, Sherman Oaks, CA 91403 Phone: 818-907-7546 Fax: 818-907-9506 |
Christina Younan Tossoun, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4955 Van Nuys Blvd Ste 200, Sherman Oaks, CA 91403 Phone: 818-981-1555 |
Lili Yen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4955 Van Nuys Blvd Ste 502, Sherman Oaks, CA 91403 Phone: 818-325-0200 |
Mark Ashby, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13547 Ventura Blvd Ste 282, Sherman Oaks, CA 91423 Phone: 818-968-4242 Fax: 818-968-4242 |