LAMISA FARHAT HASAN MD
NPI 1376247825
Student in an Organized Health Care Education/Training Program in Fontana, CA

Active since March 29, 2023PECOS EnrolledAccepts Medicare Assignment
17234 VALLEY BLVD., FONTANA, CA 92335(833) 574-2273 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lamisa Farhat Hasan Md NPPES

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

LAMISA FARHAT HASAN MD (NPI 1376247825) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376247825
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLAMISA FARHAT HASANCredential: MD
Location Address17234 VALLEY BLVD.Fontana, CA 92335
Mailing Address17234 Valley Blvd.Fontana, CA 92335
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 29, 2023
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedMarch 24, 2023
✔ NPI 1376247825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
17234 VALLEY BLVD., Fontana, CA 92335

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

Lamisa Farhat Hasan Md 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 ID6800311168
PECOS Enrollment IDI20260702001568
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 Lamisa Hasan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 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.

Other Providers at the Same Location NPPES 15

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

Psychiatry & Neurology (Psychiatry)
17234 VALLEY BLVD., BUILDING A
FONTANA, CA 92335
Family Medicine
17234 VALLEY BLVD., CENTER FOR MEDICAL EDUCATION
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335
Internal Medicine
17234 VALLEY BLVD.
FONTANA, CA 92335
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17234 VALLEY BLVD., BLDG. A
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335
Student in an Organized Health Care Education/Training Program
17234 VALLEY BLVD.
FONTANA, CA 92335
Psychiatry & Neurology (Psychiatry)
17234 VALLEY BLVD., BLDG. A
FONTANA, CA 92335

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 Lamisa Hasan's NPI number?

The NPI number for Lamisa Hasan is 1376247825. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Lamisa Hasan located?

Lamisa Hasan practices at 17234 Valley Blvd., Fontana, CA 92335. The listed phone number is (833) 574-2273.

What is Lamisa Hasan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lamisa Hasan enrolled in Medicare?

Yes. Lamisa Hasan 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 Lamisa Hasan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lamisa Hasan reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Lamisa Hasan'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 Lamisa Hasan was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.