Individual provider Active NPI

Patrick Michael Hare, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1427033216
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52412 Issued in CA
Practice address
Branch Medical Clinic
Marine Corps Air Station, Miramar
San Diego, CA 92145-0001
Phone
(858) 577-9944
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 103132 NC
Physician Assistant 363A00000X 52412 CA Primary

Addresses

Primary practice location

Branch Medical Clinic
Marine Corps Air Station, Miramar
San Diego, CA 92145-0001

Mailing address

Branch Medical Clinic
Marine Corps Air Station, Miramar
San Diego, CA 92145-0001
Phone (858) 577-9944

Other identifiers 1

IdentifierTypeStateIssuer
52412OtherCAPA LICENSE

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
I20171010002209 CA Practitioner - Physician Assistant 0244470540

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52412CAMDMarriage & Family Therapist
103132NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Somagen Healthcare Inc CurrentSince Aug 16, 2017 Accepting new patients
Somagen Healthcare Inc Past Accepting new patients

Locations

760 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 821-2300

750 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 259-9462

5671 Balboa Ave
San Diego, CA 92111
Phone (855) 362-9773

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1427033216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRANCH MEDICAL CLINIC",
            "address_2": "MARINE CORPS AIR STATION, MIRAMAR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921450001",
            "telephone_number": "858-577-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRANCH MEDICAL CLINIC",
            "address_2": "MARINE CORPS AIR STATION, MIRAMAR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921450001",
            "telephone_number": "858-577-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARE",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103132",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "52412",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.