Individual provider Active NPI

Joan H Kaestner, MD

  • Ophthalmology Physician
  • Encinitas, CA
National Provider Identifier
1184723728
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G42901 Issued in CA
Practice address
4403 Manchester Ave Ste 208
Encinitas, CA 92024-7903
Phone
(760) 942-9225
Fax
(760) 942-9343
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G42901 CA Primary

Addresses

Primary practice location

4403 Manchester Ave Ste 208
Encinitas, CA 92024-7903

Mailing address

4403 Manchester Ave Ste 208
Encinitas, CA 92024-7903
Phone (760) 942-9225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42901CAMDLicensed Psychiatric Technician
G42901CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jkaestner81168@scrippshlth.medalliesdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1184723728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 MANCHESTER AVE STE 208",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920247903",
            "telephone_number": "760-942-9225",
            "fax_number": "760-942-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 MANCHESTER AVE STE 208",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920247903",
            "telephone_number": "760-942-9225",
            "fax_number": "760-942-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAESTNER",
        "first_name": "JOAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G42901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 7, 2023; 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.