MS. SUZAN HANNA MD
NPI 1619195625
General Practice in Corona, CA

Active since April 23, 2007PECOS Enrolled
1303 W 6TH ST STE 105, CORONA, CA 92882(951) 278-8910(951) 278-9895 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Mar 7, 2023, Apr 20, 2022, Dec 27, 2021 and 1 more (4 updates tracked since 2021).

About Ms. Suzan Hanna Md NPPES

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

MS. SUZAN HANNA MD (NPI 1619195625) is an individual general practice provider in Corona, California, licensed in California (A55301A) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619195625
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameMS. SUZAN HANNACredential: MD
Location Address1303 W 6TH ST STE 105Corona, CA 92882-3196
Mailing Address1303 W 6th St Ste 102Corona, CA 92882-3196 · (951) 278-8910 · Fax (951) 278-9895
Fax(951) 278-9895
Sole ProprietorNo
Enumeration DateApril 23, 2007
Last NPPES UpdateMarch 7, 20234 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1619195625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · A55301A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License A55301 (CA)
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License A55301 (CA)
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License A55301 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A53301 (CA)
1303 W 6TH ST STE 105, Corona, CA 92882

Other Identifiers 1

Medicaid00A553010CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Suzan Hanna Md 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers38 claims76 services$6.14 avg. paid by Medicare
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims586 services$0.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1303 W 6TH ST STE 105
CORONA, CA 92882
Clinic/Center (Federally Qualified Health Center (FQHC))
1303 W 6TH ST STE 105
CORONA, CA 92882
Nurse Practitioner
1303 W 6TH ST STE 105
CORONA, CA 92882
Clinic/Center (Federally Qualified Health Center (FQHC))
1303 W 6TH ST STE 105
CORONA, CA 92882

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 Suzan Hanna's NPI number?

The NPI number for Suzan Hanna is 1619195625. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Suzan Hanna located?

Suzan Hanna practices at 1303 W 6th St Ste 105, Corona, CA 92882. The listed phone number is (951) 278-8910.

What is Suzan Hanna's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Suzan Hanna enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Suzan Hanna was last updated on March 7, 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.