NPI Details
Harrison Hasanuddin, D.O. is a sleep medicine family medicine in Monterey Park, CA with 11 years of experience. The provider is a Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. Harrison Hasanuddin, D.O. NPI is 1790165785. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduation Year:2015
The provider's business location address is:
420 N GARFIELD AVE STE 203
MONTEREY PARK, CA
ZIP 91754-206
Phone: (626) 763-1899
Fax: (626) 547-4438
The NPI 1790165785 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 05D2322079 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
The enumeration date for this NPI number is 6/4/2015 and was last updated on 6/22/2025.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | 20A16309 | CALIFORNIA | No |
| 2 | 207QB0002X | Family Medicine | Obesity Medicine | 20A16309 | CALIFORNIA | No |
| 3 | 207QS1201X | Family Medicine | Sleep Medicine | 20A16309 | CALIFORNIA | Yes |
