HANNA PARK
NPI 1003424425
Nurse Practitioner - Family in Tujunga, CA
About Hanna Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HANNA PARK (NPI 1003424425) is an individual family provider in Tujunga, California, licensed in California (9514052) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Hanna Park is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Hanna Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tujunga, CA 91042
- Reassigned Medicare billing, California enrollment
- 19 clinicians in this Medicare group
N Hollywood, CA 91605
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hanna Park's NPI number?
The NPI number for Hanna Park is 1003424425. It was assigned to this individual provider in the NPPES registry on July 22, 2020.
Where is Hanna Park located?
Hanna Park practices at 7204 Foothill Blvd, Tujunga, CA 91042. The listed phone number is (818) 352-8333.
What is Hanna Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Hanna Park enrolled in Medicare?
Yes. Hanna Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Hanna Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hanna Park reassigns Medicare benefits to 2 organizations: First Aid Urgent Care Inc (Tujunga, CA) and Southern California Permanente Medical Group (N Hollywood, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hanna Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Hanna Park was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Hanna Park · NPI 1003424425
Family physician in Tujunga, California. Individual provider, active in the CMS NPPES registry since July 22, 2020.
## Identity
- **NPI:** 1003424425 (Entity type: Individual)
- **Enumerated:** July 22, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9514052 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7204 FOOTHILL BLVD, Tujunga, CA 91042-2719
- **Phone:** (818) 352-8333
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): First Aid Urgent Care Inc (NPI 1760889190, Tujunga, CA); Southern California Permanente Medical Group (NPI 1891873303, N Hollywood, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1003424425) · Data from the CMS NPPES public registry.