Individual provider Active NPI

Ruth A Hahn, MD

  • Obstetrics & Gynecology Physician
  • Fairfield, CA
National Provider Identifier
1528118262
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A88964 Issued in CA
Practice address
1255 Travis Blvd
Fairfield, CA 94533-4801
Phone
(510) 984-1103
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A88964 CA Primary

Addresses

Primary practice location

1255 Travis Blvd
Fairfield, CA 94533-4801

Mailing address

PO Box 127
Napa, CA 94559-0127
Phone (707) 255-3300

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091222000443 CA Practitioner - Obstetrics/Gynecology 5991845919 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Specialists Medical CorporationGroup PAC ID 3678849049, 26 clinicians

Practice addresses (Care Compare)

1255 Travis Blvd
Fairfield, CA 94533-4801
Phone (800) 973-1540

Merit-based Incentive Payment System (MIPS)

Final score
9.46 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
31.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A88964CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of California, a Professional Corporation Obstetrics & Gynecology CurrentSince Nov 1, 2017 Accepting new patients
SNF Specialists Medical Corporation CurrentSince Apr 3, 2022 Accepting new patients
DHP of California Medical Group Inc Obstetrics & Gynecology CurrentSince Mar 23, 2016 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince May 23, 2017 Accepting new patients

Locations

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

File 50978
Los Angeles, CA 90074

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

215 Gateway Rd W
Ste 100
Napa, CA 94558

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Interoperability endpoints

  • Direct secure messaging: rolweny125915@santaclaravalley.direct-ci.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1528118262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945590127",
            "telephone_number": "707-255-3300",
            "fax_number": "707-255-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 TRAVIS BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334801",
            "telephone_number": "510-984-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "RUTH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A88964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.