Organization Active NPI

Hhsa

  • Case Management Registered Nurse
  • Poway, CA
National Provider Identifier
1013048826
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
548889 Issued in CA
Legal business name
HHSA
Practice address
14002 Tierra Bonita Rd
Poway, CA 92064-3452
Phone
(760) 740-4291
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hanna Khazaeli
Title
PHN
Phone
(760) 740-4291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X 548889 CA Primary

Addresses

Primary practice location

14002 Tierra Bonita Rd
Poway, CA 92064-3452

Mailing address

14002 Tierra Bonita Rd
Poway, CA 92064-3452

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013048826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14002 TIERRA BONITA RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14002 TIERRA BONITA RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643452",
            "telephone_number": "760-740-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HHSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAZAELI",
        "authorized_official_first_name": "HANNA",
        "authorized_official_title_or_position": "PHN",
        "authorized_official_telephone_number": "760-740-4291"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "548889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.