ERIC R. HANSEN, DO
NPI 1801937479
Non-Pharmacy Dispensing Site in Hesperia, CA

Active since February 08, 2007
15888 MAIN ST, 112B, HESPERIA, CA 92345(760) 947-0727 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eric R. Hansen, Do NPPES

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

ERIC R. HANSEN, DO (NPI 1801937479) is a healthcare organization registered as a non-pharmacy dispensing site in Hesperia, California and active in the NPI registry since February 2007. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1801937479
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameERIC R. HANSEN, D.O., PROFESSIONAL CORPORATION
Location Address15888 MAIN ST, 112BHesperia, CA 92345-3452
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Organization SubpartYesParent: Medvantx, Inc
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateFebruary 8, 2007
Last NPPES UpdateOctober 17, 2012
NPI 1801937479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in CA · 20A8138
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
15888 MAIN ST, Hesperia, CA 92345

Other Names 1

Doing Business AsEric R. Hansen, Do

Other Providers at the Same Location NPPES 3

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

Optometrist
15888 MAIN ST, #112A
HESPERIA, CA 92345
Family Medicine
15888 MAIN ST, SUITE 112B
HESPERIA, CA 92345
Chiropractor
15888 MAIN ST
HESPERIA, CA 92345

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 Eric R. Hansen, D.O., Professional Corporation's NPI number?

The NPI number for Eric R. Hansen, D.O., Professional Corporation is 1801937479. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Eric R. Hansen, Do.

Where is Eric R. Hansen, D.O., Professional Corporation located?

Eric R. Hansen, D.O., Professional Corporation is located at 15888 Main St 112B, Hesperia, CA 92345. The listed phone number is (760) 947-0727.

What is Eric R. Hansen, D.O., Professional Corporation's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Eric R. Hansen, D.O., Professional Corporation was last updated on October 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.