David L Haugen, M.D., Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

00C313243 Issued in CA

Legal business name

DAVID L HAUGEN, M.D., INC.

Practice address

15366 De la Cruz Dr
Rancho Murieta, CA 95683-9719

Phone

(916) 354-4100

Fax

(530) 367-2974

NPI assigned

Aug 31, 2010

Organization subpart

No

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

Authorized official

Name

Gail L Loescher

Title

Biller

Phone

(530) 367-4193

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1427364215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15366 DE LA CRUZ DR",
            "city": "RANCHO MURIETA",
            "state": "CA",
            "postal_code": "956839719",
            "telephone_number": "916-354-4100",
            "fax_number": "530-367-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15366 DE LA CRUZ DR",
            "city": "RANCHO MURIETA",
            "state": "CA",
            "postal_code": "956839719",
            "telephone_number": "916-354-4100",
            "fax_number": "530-367-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L HAUGEN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "LOESCHER",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "530-367-4193"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "00C313243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C313240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Ann Balboni, LCSW
• Patricia Coauette, RDH, RDHAP
• Jennipher De'Aun Cowell, CD
• Laura K Crockett, ND
• Justin De la Cruz
• Maya Dickerson, PTA
• Molly Rae Garcia, PA
• Jennifer Margaret Hoene, PTA
• Joseph Jemera, MPT

• Surgery Physician in Rancho Murieta, CA
• Providers in Rancho Murieta, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.