Active NPI
Hans C. Geisse, MD
- Addiction Medicine (Internal Medicine) Physician
- Riverside, CA
National Provider Identifier
1063589935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 170233
- Practice address
- 10800 Magnolia Ave
Riverside, CA 92505-3043 - Phone
- (909) 353-2000
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | A46120 | CA | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | MD60665946 | WA | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 170233 | NY | Primary |
Addresses
Primary practice location
10800 Magnolia Ave
Riverside, CA 92505-3043
Mailing address
10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (909) 353-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46120 | CA | MD | Marriage & Family Therapist |
| A46120 | CA | MD | Addiction Medicine (Internal Medicine) Physician |
| 170233 | NY | MD | Addiction Medicine (Internal Medicine) Physician |
| MD60665946 | WA | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Grays Harbor Surgeons | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Hans-on Recovery, PLLC | Addiction Medicine | Current | Accepting new patients |
Locations
1006 N H St
Aberdeen, WA 98520
Phone (360) 537-6032
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
- Addiction Medicine (Internal Medicine) Physician
- Aliso Viejo, CA
- NPI 1225796337
-
- Clinic/Center
- Westport, WA
- NPI 1497510333
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1881735462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1063589935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053043",
"telephone_number": "909-353-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053043",
"telephone_number": "909-353-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISSE",
"first_name": "HANS",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "CA",
"license": "A46120",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "WA",
"license": "MD60665946",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "NY",
"license": "170233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.