Active NPI
Kinji Lothario Hawthorne, MD
- Internal Medicine Physician
- La Quinta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A64097
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Emory University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Eisenhower Medical Center
- Salinas Valley Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68919 | GA | MD | Infectious Disease Physician |
| 64097 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Internal Medicine | Current | Accepting new patients |
| Younes Medical Corporation | Current | Accepting new patients | |
| Dap Health Inc. | Current | Accepting new patients | |
| Access Telecare, PLLC | Internal Medicine | Current | Accepting new patients |
| Riverside-San Bernardino County Indian Health, Inc | Current | Accepting new patients | |
| First Choice Physician Partners | Current | 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
- khawthorne832111@oc.providencedirect.org
- 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.
-
- Federally Qualified Health Center (FQHC)
- Palm Springs, CA
- NPI 1306464326
-
- Federally Qualified Health Center (FQHC)
- Grand Terrace, CA
- NPI 1174676670
TX
-
- Infusion Therapy Clinic/Center
- Palm Desert, CA
- NPI 1881736312
-
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1558797118
Internal Medicine
-
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Federally Qualified Health Center (FQHC)
- Mountain Center, CA
- NPI 1366028086
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1649229600
-
- Hospitalist Physician
- Prescott, AZ
- NPI 1437137072
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Rural Health Clinic/Center
- Gonzales, CA
- NPI 1437549284
Hospital
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1750384079
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.