Active NPI
Hhsa
- Case Management Registered Nurse
- Poway, CA
National Provider Identifier
1013048826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 548889
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 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 DirectoryNPI 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.