IndividualActive
Martin Hannon, PAC
NPI 1497860415 · Medical Physician Assistant · Beverly Hills, CA
Provider details
- NPI number
- 1497860415
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- PA 14811 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
414 N Camden Dr
Ste 1100
Beverly Hills, CA 90210-4532
Phone: (310) 278-3400
Fax: (310) 278-1240
Street-level locationGet directions
Mailing address
414 N Camden Dr
Beverly Hills, CA 90210-4532
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.