Individual provider Active NPI

Star Hassfeld, R.N

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1235552928
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
821553 Issued in CA
Practice address
4824 Pescadero Ave
San Diego, CA 92107-3415
Phone
(619) 886-5152
NPI assigned
Jan 30, 2014
Last updated
Jan 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 821553 CA Primary

Addresses

Primary practice location

4824 Pescadero Ave
San Diego, CA 92107-3415

Mailing address

4824 Pescadero Ave
San Diego, CA 92107-3415
Phone (619) 886-5152

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
821553CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1235552928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 PESCADERO AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073415",
            "telephone_number": "619-886-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 PESCADERO AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073415",
            "telephone_number": "619-886-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSFELD",
        "first_name": "STAR",
        "name_prefix": "Ms.",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "821553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.