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MAMDOUH HANNA
NPI 1043742455
Psychiatry & Neurology - Psychiatry in Loma Linda, CA

Active since April 03, 2017PECOS Enrolled
11234 ANDERSON ST, SUITE C, LOMA LINDA, CA 92354(909) 558-9532 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mamdouh Hanna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAMDOUH HANNA (NPI 1043742455) is an individual psychiatry provider in Loma Linda, California, licensed in California (A157174) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043742455
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMAMDOUH HANNA
Location Address11234 ANDERSON ST, SUITE CLoma Linda, CA 92354-2804
Mailing Address11234 Anderson St, Suite CLoma Linda, CA 92354-2804 · (909) 558-9532
Phone(909) 558-9532
Sole ProprietorNo
Enumeration DateApril 3, 2017
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedFebruary 10, 2021
✔ NPI 1043742455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A157174
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11234 ANDERSON ST, Loma Linda, CA 92354
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mamdouh Hanna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mamdouh Hanna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Department Of State Hospitals
47 mi
Psychiatric Hospital
11401 BLOOMFIELD AVE
Norwalk, CA 90650
  • Reassigned Medicare billing, California enrollment
  • 755 clinicians in this Medicare group
NPI 1265406565 (562) 863-7011
Comprehensive Psychiatric Services, A Medical Group
379 mi
Psychiatry
3100 OAK ROAD, SUITE 270
Walnut Creek, CA 94597
  • Reassigned Medicare billing, California enrollment
  • 149 clinicians in this Medicare group
NPI 1184785834 (925) 944-9711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$179.42 typical visit price
range $59.60 – $179.42
Typical copayment $44.85 (range $14.90 – $44.85)
Most-billed visit code 99205
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

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 Mamdouh Hanna's NPI number?

The NPI number for Mamdouh Hanna is 1043742455. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Mamdouh Hanna located?

Mamdouh Hanna practices at 11234 Anderson St Suite C, Loma Linda, CA 92354. The listed phone number is (909) 558-9532.

What is Mamdouh Hanna's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mamdouh Hanna enrolled in Medicare?

Yes. Mamdouh Hanna is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mamdouh Hanna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mamdouh Hanna reassigns Medicare benefits to 2 organizations: Department Of State Hospitals (Norwalk, CA) and Comprehensive Psychiatric Services, A Medical Group (Walnut Creek, 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 Mamdouh Hanna'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 Mamdouh Hanna was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.