Active NPI
Amelia Hausauer, M.D.
- Procedural Dermatology Physician
- Campbell, CA
National Provider Identifier
1376802082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- A144662
- Practice address
- 3803 S Bascom Ave Ste 100
Campbell, CA 95008-7317 - Phone
- (408) 559-7177
- NPI assigned
- May 15, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Procedural Dermatology Physician | 207NS0135X | A144662 | CA | Primary |
Addresses
Primary practice location
3803 S Bascom Ave Ste 100
Campbell, CA 95008-7317
Mailing address
3803 S Bascom Ave Ste 100
Campbell, CA 95008-7317
Phone (408) 559-7177
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A144662 | CA | MD | Procedural Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1376802082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3803 S BASCOM AVE STE 100",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087317",
"telephone_number": "408-559-7177",
"fax_number": "408-559-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3803 S BASCOM AVE STE 100",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087317",
"telephone_number": "408-559-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSAUER",
"first_name": "AMELIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "A144662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.