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MRS. LATANYA RENEE HINES M.D
NPI 1194884171
Specialist in Pasadena, CA

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
301 S FAIR OAKS AVE STE 202, PASADENA, CA 91105(626) 793-5250(626) 793-5260 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Latanya Renee Hines M.d NPPES

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

MRS. LATANYA RENEE HINES M.D (NPI 1194884171) is an individual specialist in Pasadena, California, licensed in California (A65104) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1996).

NPPES Registry Identity

NPI1194884171
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. LATANYA RENEE HINESCredential: M.D
Location Address301 S FAIR OAKS AVE STE 202Pasadena, CA 91105-2536
Mailing Address6033 S Garth Ave Ste 202Los Angeles, CA 90056-1515 · (310) 645-5045
Phone(626) 793-5250
Fax(626) 793-5260
Sole ProprietorYes
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1996
Enumeration DateDecember 6, 2006
Last NPPES UpdateNovember 2, 2021
NPPES CertifiedNovember 2, 2021
✔ NPI 1194884171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A65104
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
301 S FAIR OAKS AVE STE 202, Pasadena, CA 91105
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Other Names 1

Former Name (1)Miss Latanya Renee Johnson M.d

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

Mrs. Latanya Renee Hines M.d 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.

PECOS PAC ID8729143359
PECOS Enrollment IDI20090216000384
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 Reassignment

Medicare enrollment records show Latanya Hines reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
4.2 mi
Health Maintenance Organization
2626 COLORADO BLVD
Los Angeles, CA 90041
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1013409044 (877) 608-0044

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

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 Latanya Hines's NPI number?

The NPI number for Latanya Hines is 1194884171. It was assigned to this individual provider in the NPPES registry on December 6, 2006. The provider is also known as Miss Latanya Renee Johnson M.D.

Where is Latanya Hines located?

Latanya Hines practices at 301 S Fair Oaks Ave Ste 202, Pasadena, CA 91105. The listed phone number is (626) 793-5250.

What is Latanya Hines's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Latanya Hines enrolled in Medicare?

Yes. Latanya Hines 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 organization bills Medicare for Latanya Hines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latanya Hines reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Latanya Hines'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 Latanya Hines was last updated on November 2, 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.