Active NPI
Karen Jean Hanna, M.D.
- Surgery Physician
- Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G88851
- Practice address
- 2385 S. Melrose Dr
Vista, CA 92081 - Phone
- (760) 300-3647
- Fax
- (760) 482-1316
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G88851 | CA | Primary |
| Surgery Physician | 208600000X | MD00044306 | WA | |
| Surgery Physician | 208600000X | 2007010595 | MO | |
| General Practice Physician | 208D00000X | G88851 | CA |
Addresses
Primary practice location
2385 S. Melrose Dr
Vista, CA 92081
Mailing address
2385 S. Melrose Drive
Vista, CA 92081
Phone (760) 300-3647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204463103 | Medicaid | MO |
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
- General Surgery
- Education
- Rush Medical College of Rush University, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2385 S Melrose Dr
Vista, CA 92081-8788
Phone (760) 300-3647
Hospital & facility affiliations
- Tri-City Medical Center
- Palomar Medical Center Poway
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007010595 | MO | MD | Surgery Physician |
| MD00044306 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Health Partners | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Arch Health Partners, Inc | Neurological Surgery | Current | Accepting new patients |
| Palomar Health | Past | Accepting new patients | |
| Tri-City Hospital | Past | Accepting new patients |
Locations
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
15611 Pomerado Rd
Ste 107
Poway, CA 92064
15611 Pomerado Rd
Ste 525
Poway, CA 92064
Phone (619) 287-9334
15611 Pomerado Rd
Ste 300
Poway, CA 92064
2385 S Melrose Dr
Vista, CA 92081
Phone (760) 300-3647
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- khanna42227@scrippshlth.medalliesdirect.net
- karen.hanna.p1@direct.arch.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Valley Center, CA
- NPI 1063954683
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437350400000",
"number": "1184687337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2385 S. MELROSE DRIVE",
"city": "VISTA",
"state": "CA",
"postal_code": "92081",
"telephone_number": "760-300-3647",
"fax_number": "760-482-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 S. MELROSE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "92081",
"telephone_number": "760-300-3647",
"fax_number": "760-482-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "KAREN",
"middle_name": "JEAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2015-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G88851",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00044306",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2007010595",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G88851",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "204463103",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.