Active NPI
S Nick Hansa MD Inc
- Pulmonary Disease Physician
- Bakersfield, CA
National Provider Identifier
1245275668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- S NICK HANSA MD INC
- Practice address
- 6401 Truxtun Ave
Bakersfield, CA 93309-0613 - Phone
- (661) 327-0739
- Fax
- (661) 631-2210
- NPI assigned
- Jun 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. S Nick Hansa, MD
- Title
- President
- Phone
- (661) 327-0739
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | CA | ||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
6401 Truxtun Ave
Bakersfield, CA 93309-0613
Mailing address
6401 Truxtun Ave
Bakersfield, CA 93309-0613
Phone (661) 327-0739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4493736 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267574400000",
"number": "1245275668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 TRUXTUN AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090613",
"telephone_number": "661-327-0739",
"fax_number": "661-631-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 TRUXTUN AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090613",
"telephone_number": "661-327-0739",
"fax_number": "661-631-2210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S NICK HANSA MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2010-03-03",
"status": "A",
"authorized_official_last_name": "HANSA",
"authorized_official_first_name": "S NICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-327-0739",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4493736",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.