HASSAN ASSL (MSPA) – Physician Assistant, NPI 1720125339

HASSAN ASSL (MSPA) is a healthcare provider. based in Manteca, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MSPA. They hold a License No. 18602 (CA). The NPI Number for HASSAN ASSL (MSPA) is 1720125339

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
HASSAN ASSL (MSPA)
NPI
1720125339
Phone
(714) 336-2337
Address
801 ATHERTON DR APT 10
Enumeration Date
31 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4088511000
Graduation Year
2005 (21 years ago)
PAC ID
6305940438
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20070329000683
Address ID
CA950515173SA710XXWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for HASSAN ASSL (MSPA)

  • 801 ATHERTON DR APT 10

    MANTECA, CA 953378596

    Phone: (714) 336-2337

    Type: Mailing

  • 1191 E YOSEMITE AVE STE C

    MANTECA, CA 953365011

    Phone: (209) 239-8689

    Fax: (209) 824-3958

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070329000683IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95337)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

What federal number belongs to HASSAN ASSL (MSPA)?
The federal identifier for HASSAN ASSL (MSPA) is NPI 1720125339.
Is HASSAN ASSL (MSPA)'s NPI currently valid?
The extract we use shows HASSAN ASSL (MSPA) as active.
Can you summarize HASSAN ASSL (MSPA)'s specialty in plain language?
Clinically, the directory lists HASSAN ASSL (MSPA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for HASSAN ASSL (MSPA)?
We surface Manteca, California for HASSAN ASSL (MSPA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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