MEDICARE: STEPHANIE A HASSANI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	137742	CA
2	101YM0800X	Mental Health Counselor

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ91892Z	OTHER	CA	SANTA CRUZ COUNTY MEDICARE GROUP PTAN#

General Provider Information

NPI Number	:	1477819225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE A HASSANI

Provider Business Mailing Address
First Line	:	2124 S EL CAMINO REAL STE 101
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6211
Country	:	US
Telephone Number	:	888-688-0248
Fax Number	:

Provider Business Practice Location Address
First Line	:	2124 S EL CAMINO REAL STE 101
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92054-6211
Country	:	US
Telephone Number	:	888-688-0248
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2012
Last Update Date	:	03/29/2023

Similar Medicare Providers

1699770511 — JAMES A DAVIES M.D.
Practice Location Address:

2124 S EL CAMINO REAL STE 100
OCEANSIDE, CA
92054-6211

Practice Phone: 760-729-7101
Practice Fax: 760-729-7106

1447252267 — DR. WAYNE R SCHELLER D.C.
Practice Location Address:

2124 S EL CAMINO REAL , STE 101
OCEANSIDE, CA
92054-6211

Practice Phone: 760-722-9393
Practice Fax: 760-722-2836

1760661227 — JAMES A. DAVIES, M.D., INC
Practice Location Address:

2124 S EL CAMINO REAL STE 100
OCEANSIDE, CA
92054-6211

Practice Phone: 760-729-7101
Practice Fax: 760-729-7106

1942779848 — DOCWAYNE HEALING INC
Practice Location Address:

2124 S EL CAMINO REAL STE 101
OCEANSIDE, CA
92054-6211

Practice Phone: 760-405-4787
Practice Fax:

1124607171 — SHAE BURROW
Practice Location Address:

2124 S EL CAMINO REAL STE 101
OCEANSIDE, CA
92054-6211

Practice Phone: 888-688-0248
Practice Fax:

1265011951 — EMILY GODZAK
Practice Location Address:

2124 S EL CAMINO REAL STE 101
OCEANSIDE, CA
92054-6211

Practice Phone: 888-688-0248
Practice Fax:

Directions to “ STEPHANIE A HASSANI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.