Active NPI
Mark Chester Hartmann, PA-C
- Medical Physician Assistant
- Solana Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA16511
- Practice address
- 380 Stevens Ave Ste 100
Solana Beach, CA 92075-2068 - Phone
- (858) 554-9800
- Fax
- (858) 755-5522
- NPI assigned
- May 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA16511 | CA | Primary |
Addresses
Primary practice location
380 Stevens Ave Ste 100
Solana Beach, CA 92075-2068
Mailing address
10170 Sorrento Valley Rd
San Diego, CA 92121-1604
Phone (858) 784-5888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of California, Davis School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
380 Stevens Ave
Suite 100
Solana Beach, CA 92075-2068
Phone (858) 554-9800
9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123
9896 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123
9898 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 455-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16511 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PA16511 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Carolinas Medical Center | Past | Accepting new patients | |
| MSK-US, Inc. | Past | Accepting new patients | |
| Healthcare Medical Group of la Mesa | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
10170 Sorrento Valley Rd
San Diego, CA 92121
Phone (858) 784-5888
380 Stevens Ave
Ste 100
Solana Beach, CA 92075
Phone (858) 554-9800
Interoperability endpoints
- mhartmann19116@scrippshlth.medalliesdirect.net
Organizations & group practices 9
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.
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
dba Scripps Home Health Care Services
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
dba Scripps Coastal Medical Center
- Family Medicine Physician
- San Diego, CA
- NPI 1881636108
-
- Specialist
- La Mesa, CA
- NPI 1124165337
-
- Diagnostic Ultrasound Physician
- La Mesa, CA
- NPI 1033404306
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
dba Atrium Health Behavioral Health
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Scripps Memorial Hospital Encinitas
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393286400000",
"number": "1033385117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10170 SORRENTO VALLEY RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211604",
"telephone_number": "858-784-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 STEVENS AVE STE 100",
"city": "SOLANA BEACH",
"state": "CA",
"postal_code": "920752068",
"telephone_number": "858-554-9800",
"fax_number": "858-755-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMANN",
"first_name": "MARK",
"middle_name": "CHESTER",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-07",
"last_updated": "2014-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA16511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Solana Beach, CA
- Kristina Halmai Gillan, LMFT
- Navid Hannanvash, D.P.T.
- Carol Harmon, OTR/L
- Dan Orville Harper, MD
- Cory Harris
- Hear San Diego Inc (SOUTH BAY HEARING AID CENTER/Amy M. Bryan)
- Heartpath Collective Marriage and Family Therapy Professional Corporation (HeartPath Collective)
- Kamyar Hedayat, MD
- Hello Pediatrics PC
- Eugene Victor Helsel, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.