Individual provider Active NPI

Carrie Aisen, M.D.

  • Urology Physician
  • La Mesa, CA
National Provider Identifier
1245673334
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A161915 Issued in CA
Practice address
8881 Fletcher Pkwy Ste 250
La Mesa, CA 91942-3191
Phone
(619) 828-1000
NPI assigned
Apr 9, 2013
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A161915 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy Ste 250
La Mesa, CA 91942-3191

Mailing address

8881 Fletcher Pkwy Ste 250
La Mesa, CA 91942-3191
Phone (619) 828-1000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025002016 CA Practitioner - Urology 1951642917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott Logan Brown MD a Professional CorpGroup PAC ID 9638063605, 4 clinicians

Practice addresses (Care Compare)

8881 Fletcher Pkwy
Suite 250
La Mesa, CA 91942-3191
Phone (619) 828-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
63.76
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A161915CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Jul 25, 2020 Accepting new patients
Scripps Health Current Accepting new patients
Scott Logan Brown, MD, a Professional Corp Urology CurrentSince Jul 1, 2020 Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients

Locations

2060 Otay Lakes Rd
Ste 220
Chula Vista, CA 91913
Phone 6194767958201

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

8881 Fletcher Pkwy
Ste 250
La Mesa, CA 91942
Phone (619) 589-6888

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Interoperability endpoints

  • Direct secure messaging: caisen384254@scrippshlth.medalliesdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1245673334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423191",
            "telephone_number": "619-828-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423191",
            "telephone_number": "619-828-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AISEN",
        "first_name": "CARRIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A161915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.