Individual provider Active NPI

Kinji Lothario Hawthorne, MD

  • Internal Medicine Physician
  • La Quinta, CA
National Provider Identifier
1023208683
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A64097 Issued in CA
Practice address
47647 Caleo Bay Dr Ste 210
La Quinta, CA 92253-8858
Phone
(760) 771-1000
Fax
(760) 771-9001
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 68919 GA
Infectious Disease Physician 207RI0200X A64097 CA
Internal Medicine Physician 207R00000X A64097 CA Primary

Addresses

Primary practice location

47647 Caleo Bay Dr Ste 210
La Quinta, CA 92253-8858

Mailing address

47647 Caleo Bay Dr Ste 210
La Quinta, CA 92253-8858
Phone (760) 771-1000

Other practice location 1

1500 21st St
Sacramento, CA 95811-5216
Phone (619) 443-3299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, TX, NM, ID, MT6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20070919001000 AZ Practitioner - Internal MedicinePractitioner - Infectious Disease 5294829362 Reassigns benefits to 1 organization
I20090122000721 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Infectious Disease 5294829362 Reassigns benefits to 2 organizations
I20241015003007 TX Practitioner - Internal MedicinePractitioner - Infectious Disease 5294829362 Reassigns benefits to 1 organization
I20250407002553 NM Practitioner - Infectious Disease 5294829362 Reassigns benefits to 1 organization
I20250410000684 ID Practitioner - Infectious Disease 5294829362 Reassigns benefits to 1 organization
I20260618001363 MT Practitioner - Internal Medicine 5294829362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Emory University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dap Health IncGroup PAC ID 6002989522, 67 clinicians
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Practice addresses (Care Compare)

1695 N Sunrise Way
Palm Springs, CA 92262-3701
Phone (760) 323-2118

2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540

455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (972) 449-0540

Hospital & facility affiliations

  • Angels Home Health Corporation Home health agency, Palm Springs, CA, CCN 059598
  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573
  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68919GAMDInfectious Disease Physician
64097CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Internal Medicine CurrentSince Nov 14, 2019 Accepting new patients
Younes Medical Corporation CurrentSince Jan 12, 2022 Accepting new patients
Dap Health Inc. Current Accepting new patients
Access Telecare, PLLC Internal Medicine CurrentSince Mar 31, 2025 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Oct 7, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Nov 14, 2019 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. Current Accepting new patients
First Choice Physician Partners Current Accepting new patients
California Em-I Medical Services Past Accepting new patients
Naz Hospitalists Inc Past Accepting new patients

Locations

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

11555 Potrero Rd
#1-2
Banning, CA 92220
Phone (909) 849-4761

11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470

47647 Caleo Bay Dr
Ste 210
La Quinta, CA 92253
Phone (760) 760-5649

36919 Cook St
Ste 101
Palm Desert, CA 92211
Phone (760) 636-1336

36923 Cook St
Ste 103
Palm Desert, CA 92211
Phone (760) 568-5323

1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: khawthorne832111@oc.providencedirect.org
  • Direct secure messaging: khawthorne21707@direct.svmh.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1023208683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47647 CALEO BAY DR STE 210",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538858",
            "telephone_number": "760-771-1000",
            "fax_number": "760-771-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47647 CALEO BAY DR STE 210",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922538858",
            "telephone_number": "760-771-1000",
            "fax_number": "760-771-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 21st St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958115216",
            "country_code": "US",
            "telephone_number": "619-443-3299",
            "fax_number": "916-325-1980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "KINJI",
        "middle_name": "LOTHARIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "68919",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A64097",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.