Active NPI
Perry Allan Haugen, M.D.
- Ophthalmology Physician
- Sonora, CA
National Provider Identifier
1043345366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G85829
- Practice address
- 940 Sylva LN Ste G
Sonora, CA 95370-5969 - Phone
- (209) 532-0340
- Fax
- (209) 532-6405
- NPI assigned
- Feb 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G85829 | CA | Primary |
Addresses
Primary practice location
940 Sylva LN Ste G
Sonora, CA 95370-5969
Mailing address
940 Sylva LN Ste G
Sonora, CA 95370-5969
Phone (209) 532-0340
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G858291 | Medicaid | CA | |
| 1299310002 | Other | CA | SECOND DEMERC PIN |
| 00G858290 | Medicaid | CA | |
| 180040947 | Other | CA | RAILROAD MEDICARE PIN |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Loma Linda University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
940 Sylva LN
Suite G
Sonora, CA 95370-5969
Phone (209) 532-0340
Hospital & facility affiliations
- Adventist Health Sonora
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.76 of 100
- Quality
- 90.99
- Improvement activities
- 40
- Cost
- 61.21
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 565 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85829 | CA | MD | Marriage & Family Therapist |
| G85829 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arthur N Donaldson M D Inc | Ophthalmology | Current | Accepting new patients |
Locations
595 Stanislaus Ave
Ste A
Angels Camp, CA 95222
Phone (209) 736-5555
940 Sylva Ln
Ste G
Sonora, CA 95370
Phone (209) 532-0340
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Sonora, CA
- NPI 1497882914
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430265600000",
"number": "1043345366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 SYLVA LN STE G",
"city": "SONORA",
"state": "CA",
"postal_code": "953705969",
"telephone_number": "209-532-0340",
"fax_number": "209-532-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 SYLVA LN STE G",
"city": "SONORA",
"state": "CA",
"postal_code": "953705969",
"telephone_number": "209-532-0340",
"fax_number": "209-532-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGEN",
"first_name": "PERRY",
"middle_name": "ALLAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2015-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G85829",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G858291",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECOND DEMERC PIN",
"identifier": "1299310002",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G858290",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "180040947",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.