Active NPI
Jan Kulhanek, MD
- Interventional Cardiology Physician
- Encinitas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- A102299
- Practice address
- 320 Santa Fe Dr
Suite 204
Encinitas, CA 92024-5138 - Phone
- (760) 944-7300
- Fax
- (760) 633-3949
- NPI assigned
- Mar 28, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 44646 | WI | |
| Cardiovascular Disease Physician | 207RC0000X | 0101241881 | VA | |
| Interventional Cardiology Physician | 207RI0011X | A102299 | CA | Primary |
Addresses
Primary practice location
320 Santa Fe Dr
Suite 204
Encinitas, CA 92024-5138
Mailing address
PO Box 230757
Encinitas, CA 92023-0757
Phone (760) 944-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34270100 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
320 Santa Fe Dr
Suite 204
Encinitas, CA 92024-5179
Phone (760) 944-7300
9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 457-4123
Hospital & facility affiliations
- Scripps Memorial Hospital - Encinitas
- Scripps Memorial Hospital la Jolla
- Tri-City Medical Center
- UC San Diego Health Hillcrest - Hillcrest Med Ctr
- Scripps Green Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 34 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102299 | CA | MD | Marriage & Family Therapist |
| 0101241881 | VA | MD | Cardiovascular Disease Physician |
| 44646 | WI | MD | Cardiovascular Disease Physician |
| A102299 | CA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Cardiology Medical Group, Inc. | Cardiovascular Disease | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251
320 Santa Fe Dr
Ste 204
Encinitas, CA 92024
Phone (760) 753-1104
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
9850 Genesee Ave
Ste 780
La Jolla, CA 92037
Phone (858) 625-7200
9850 Genesee Ave
Ste 940
La Jolla, CA 92037
Phone (858) 457-1234
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jkulhanek28288@scrippshlth.medalliesdirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- La Jolla, CA
- NPI 1851481121
-
- Cardiovascular Disease Physician
- Encinitas, CA
- NPI 1427069103
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1275899072
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
-
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841233780
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1316908775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 230757",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920230757",
"telephone_number": "760-944-7300",
"fax_number": "760-633-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SANTA FE DR",
"address_2": "SUITE 204",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245138",
"telephone_number": "760-944-7300",
"fax_number": "760-633-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULHANEK",
"first_name": "JAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "44646",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101241881",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "CA",
"license": "A102299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34270100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.