Frederick Haseman, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G28713 Issued in CA

Practice address

77 Casa St
Suite 203
San Luis Obispo, CA 93405-5803

Phone

(805) 544-6471

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Sierra Vista Medical Pavilion Ambulatory Surgery Suite

  • Ambulatory Surgical Clinic/Center
  • San Luis Obispo, CA
  • NPI 1952443046
  NPD (past)

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114043320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4889 CHERRY AVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934554951",
            "telephone_number": "805-937-0465",
            "fax_number": "805-597-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CASA ST",
            "address_2": "SUITE 203",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055803",
            "telephone_number": "805-544-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASEMAN",
        "first_name": "FREDERICK",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G28713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "G28173",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G281730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Hartz
• Daniel Alan Hartzell
• Brianna Lynn Harvey, LMFT
• Lea Joy Harvey
• Elana C. Harway, M.D.
• Mohammad Hashmi, D.O
• Connie Hasley, CD (DONA)
• Taryn Hastie
• Gary Martin Hatch, M.D.
• Hauber Chiropractic, LLC

• Specialist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.