Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Cory Hata, DO

Individual provider Emergency Medicine Physician · NPI 1508136847

Dr. Cory Hata, DO is an Emergency Medicine in Anaheim, California. Qualified in 2009, 17 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Texas.

Years since qualifying
17
Licensed in
CA, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3440 E La Palma Ave
Anaheim, CA 92806-2020
Phone: (714) 644-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20A12330 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence P1323 (TX)

Record details

NPI number1508136847
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 4, 2012
Last updated in NPPESDecember 2, 2021
Mailing address3440 E La Palma Ave, Anaheim, CA 92806-2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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