ERIC HANLEY
NPI 1750892055
Student in an Organized Health Care Education/Training Program in San Rafael, CA

Q: What is Eric Hanley's NPI number?

The NPI number for Eric Hanley is 1750892055. It was assigned to this individual provider in the NPPES registry on October 13, 2017.

Q: What is Eric Hanley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eric Hanley was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 13, 2017PECOS Enrolled

1330 LINCOLN AVE STE 201, SAN RAFAEL, CA 94901(415) 459-5999 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eric Hanley NPPES

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

ERIC HANLEY (NPI 1750892055) is an individual student in an organized health care education/training program in San Rafael, California and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750892055

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameERIC HANLEY

Location Address1330 LINCOLN AVE STE 201San Rafael, CA 94901-2142

Mailing Address1330 Lincoln Ave Ste 201San Rafael, CA 94901-2142

Phone(415) 459-5999

Sole ProprietorNo

Enumeration DateOctober 13, 2017

✔ NPI 1750892055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

1330 LINCOLN AVE STE 201, San Rafael, CA 94901

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Hanley 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.

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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.

JESSICA SANANES

Student in an Organized Health Care Education/Training Program