EMAD NABIL LOTFY HANNA (NPI# 1417342213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417342213 |
| Entity Type | Individual |
| Full Name | EMAD NABIL LOTFY HANNA |
| Practice Address |
8110 Mango Ave Fontana CA 92335-3603 |
| Mailing Address |
Po Box 8507 Fountain Valley CA 92708 |
| Practice Telephone | 6197346498 |
| Mailing Telephone | 6197346498 |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2017-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | S021013 | AZ | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 0014453 | OR | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 74163 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679911572 | Emad Hanna | General Acute Care Hospital | 355 Bard Ave, Pediatric Department, 3rd Floor, Room 314, Staten Island, NY 10310-1664 | 2013-06-13 |
| 1184735441 | Emad Hanna | Anesthesiology | 1737 Briarcrest Dr, Suite 14, Bryan, TX 77802-2769 | 2006-08-31 |
| 1912992785 | Emad S. Hanna | Family Medicine | 196 Merrick Rd, Oceanside, NY 11572-1420 | 2005-09-16 |
| Street Address |
8110 MANGO AVE |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265491765 | Ayad Said Makar | Emergency Medicine | 8110 Mango Ave, Fontana, CA 92335-3603 | 2006-03-22 |
| 1861857260 | Erica Scott | Nurse Practitioner | 8110 Mango Ave, Fontana, CA 92335-3603 | 2015-12-29 |
| 1306210760 | Hyeran Lee | Nurse Practitioner | 8110 Mango Ave, Fontana, CA 92335-3603 | 2015-11-23 |
| 1538554548 | Mazin Elhadary | Family Medicine | 8110 Mango Ave, Fontana, CA 92335-3603 | 2015-04-06 |
| 1477959161 | Jereen Perez Medina | Nurse Practitioner | 8110 Mango Ave, Fontana, CA 92335-3603 | 2014-11-07 |
| 1942575022 | Heba A. Boshra | Family Medicine | 8110 Mango Ave, Suite 104, Fontana, CA 92335-3603 | 2012-03-21 |
| 1821360702 | Ana D Rubalcaba | Physician Assistant | 8110 Mango Ave, Fontana, CA 92335-3603 | 2012-02-07 |
| 1144534876 | Kevin Liao | Family Medicine | 8110 Mango Ave, Fontana, CA 92335-3603 | 2010-08-05 |
| 1215264098 | Young Kwun Kim | Dentist | 8110 Mango Ave, 101, Fontana, CA 92335-3603 | 2009-11-16 |
| 1376876912 | Pinnacle Medical Group, Inc | Family Medicine | 8110 Mango Ave, Fontana, CA 92335-3603 | 2009-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003355769 | Usama Labib | Pharmacist | 9985 Sierra Ave Fl Link2, Fontana, CA 92335-6720 | 2017-02-14 |
| 1023567013 | Adeniyi Nathan Daramola | Pharmacist | 7060 Dawn Way, Fontana, CA 92336-4258 | 2016-10-02 |
| 1831560192 | Yoon H Chang | Pharmacist | 17577 Arrow Blvd Ste 101, Fontana, CA 92335-4011 | 2015-10-13 |
| 1245641687 | Lih Gen (tracy) Lee | Pharmacist | 13451 Baseline Ave Ste C, Fontana, CA 92336-5472 | 2014-05-19 |
| 1073940094 | Andrew Kyung Warnock | Pharmacist | 4993 Brookside Ave, Fontana, CA 92336-0751 | 2013-10-04 |
| 1497013817 | Christopher Tjon | Pharmacist | 17284 Slover Ave Ste 204, Fontana, CA 92337-7584 | 2012-04-24 |
| 1053677526 | Maria A Guerrero | Pharmacist | 14094 La Salle Court, Fontana, CA 92336 | 2012-04-09 |
| 1881970663 | Tony Jackson Chu | Pharmacist | 6278 Beth Page Dr, Fontana, CA 92336-1229 | 2011-10-25 |
| 1437434164 | Dylan Dang | Pharmacist | 7238 Ashwood Ct, Fontana, CA 92336-0899 | 2011-10-13 |
| 1134416928 | Khilna Patel | Pharmacist | 16353 Freesia Ln, Fontana, CA 92336-1475 | 2011-06-30 |
| Find all providers in FONTANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.