Individual provider Active NPI

Karie M Hall, PA-C

  • Physician Assistant
  • Temecula, CA
National Provider Identifier
1275576852
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
23194 Issued in CA
Practice address
31720 Temecula Pkwy
#203
Temecula, CA 92592-5802
Phone
(951) 303-6900
NPI assigned
Jun 13, 2006
Last updated
Feb 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 23194 CA Primary

Addresses

Primary practice location

31720 Temecula Pkwy
#203
Temecula, CA 92592-5802

Mailing address

31720 Temecula Pkwy
#203
Temecula, CA 92592-5802
Phone (951) 303-6900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140805001527 CA Practitioner - Physician Assistant 0143284430 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skinphysicians and Surgeons Medical Group IncGroup PAC ID 3971401126, 6 clinicians

Practice addresses (Care Compare)

859 E Foothill Blvd
Suite B
Upland, CA 91786-4085
Phone (909) 981-8929

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
23194CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology - Pacific, P.C. CurrentSince Dec 1, 2025 Accepting new patients
Forefront Dermatology - Pacific, P.C. Past Accepting new patients

Locations

8401 Pine Ave
Ste 120
Chino, CA 91708
Phone (909) 789-0937

15055 Los Gatos Blvd
Ste 100
Los Gatos, CA 95032
Phone (408) 333-9580

859 E Foothill Blvd
Ste B
Upland, CA 91786
Phone (909) 981-8929

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1275576852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31720 TEMECULA PKWY",
            "address_2": "#203",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925802",
            "telephone_number": "951-303-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31720 TEMECULA PKWY",
            "address_2": "#203",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925802",
            "telephone_number": "951-303-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KARIE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "23194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.