Active NPI
Robert Joseph Haag, 702177
- Certified Registered Nurse Anesthetist
- San Diego, CA
National Provider Identifier
1265638373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3779
- Practice address
- 11429 Miro Cir
San Diego, CA 92131-3316 - Phone
- (858) 397-2309
- NPI assigned
- Jun 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 3779 | CA | Primary |
Addresses
Primary practice location
11429 Miro Cir
San Diego, CA 92131-3316
Mailing address
11429 Miro Cir
San Diego, CA 92131-3316
Phone (858) 397-2309
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1265638373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11429 MIRO CIR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313316",
"telephone_number": "858-397-2309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11429 MIRO CIR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313316",
"telephone_number": "858-397-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAG",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "702177",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "3779",
"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 Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.