Organization Active NPI

Hardison Medical Corporation

  • General Practice Physician
  • Encinitas, CA
National Provider Identifier
1124508296
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HARDISON MEDICAL CORPORATION
Practice address
142 Encinitas Blvd
Encinitas, CA 92024-3657
Phone
(760) 230-1888
Fax
(855) 716-2901
NPI assigned
Aug 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Dr. Joy Hardison, MD
Title
President
Phone
(760) 230-1888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

142 Encinitas Blvd
Encinitas, CA 92024-3657

Mailing address

142 Encinitas Blvd
Encinitas, CA 92024-3657
Phone (760) 230-1888

Other practice location 1

802 N Coast Highway 101
Encinitas, CA 92024-2047
Phone (760) 230-1888

Other practice location 2

6037 La Granada Suite C
Rancho Santa Fe, CA 92067
Phone (760) 230-1888

Other practice location 3

3940 4th Ave Suite 130/140
San Diego, CA 92103-3193
Phone (760) 230-1888

Other names 1

  • Healthtopia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181023000245 CA Part B Supplier - Clinic/Group Practice 1456604339 Receives reassigned benefits from 16 practitioners
Practice locations: Encinitas, CA; Rancho Santa Fe, CA; San Diego, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2158820Hardison Medical Corporation142 Encinitas Blvd, Encinitas, CA 92024AccreditationMar 23, 2027
05D2253900Hardison Medical Corporation6037 La Granada, Rancho Santa Fe, CA 92067Certificate of waiverFeb 24, 2028
05D2301187Hardison Medical Corporation3940 4TH Ave Ste 130/140, San Diego, CA 92103Certificate of waiverMar 20, 2028

National Provider Directory

National Provider Directory

Locations

2210 Encinitas Blvd
Ste N
Encinitas, CA 92024
Phone (760) 230-1888

4110 Sorrento Valley Blvd
Ste C
San Diego, CA 92121

3940 4th Ave
Ste 130
San Diego, CA 92103
Phone (760) 230-1888

3940 4th Ave
#130140
San Diego, CA 92103

3940 4th Ave
Ste 140
San Diego, CA 92103
Phone (619) 516-8931

4110 Sorrento Valley Blvd
San Diego, CA 92121
Phone (858) 246-9698

3940 4th Ave
Ste 130140
San Diego, CA 92103
Phone (760) 230-1888

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1534550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1124508296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ENCINITAS BLVD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243657",
            "telephone_number": "760-230-1888",
            "fax_number": "855-716-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ENCINITAS BLVD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243657",
            "telephone_number": "760-230-1888",
            "fax_number": "855-716-2901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 N Coast Highway 101",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920242047",
            "country_code": "US",
            "telephone_number": "760-230-1888",
            "fax_number": "855-716-2901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6037 La Granada Suite C",
            "address_purpose": "LOCATION",
            "city": "Rancho Santa Fe",
            "state": "CA",
            "postal_code": "92067",
            "country_code": "US",
            "telephone_number": "760-230-1888",
            "fax_number": "855-716-2901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3940 4th Ave Suite 130/140",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921033193",
            "country_code": "US",
            "telephone_number": "760-230-1888",
            "fax_number": "855-716-2901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARDISON MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-18",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-230-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthtopia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthtopia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.