Individual provider Active NPI

Ann F Haas, M.D.

  • MOHS-Micrographic Surgery Physician
  • Sacramento, CA
National Provider Identifier
1538270707
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
G55599 Issued in CA
Practice address
1020 29TH St
#570A
Sacramento, CA 95816-5125
Phone
(916) 733-3792
Fax
(916) 733-3805
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G55599 CA
Pediatric Dermatology Physician 207NP0225X G55599 CA
Procedural Dermatology Physician 207NS0135X G55599 CA
MOHS-Micrographic Surgery Physician 207ND0101X G55599 CA Primary

Addresses

Primary practice location

1020 29TH St
#570A
Sacramento, CA 95816-5125

Mailing address

10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (855) 771-0335

Other identifiers 1

IdentifierTypeStateIssuer
00G555990MedicaidCA

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
I20080724000706 CA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 5193898021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Warren Alpert Medical School of Brown University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

3301 C St
Sacramento, CA 95816-3300
Phone (916) 734-6805

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55599CAMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Dermatology CurrentSince Jun 2, 2014 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 1, 2007 Accepting new patients
Sutter Valley Medical Foundation Dermatology Current Accepting new patients
Regents of the Univ of Ca CurrentSince Jun 2, 2014 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 1, 2007 Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1538270707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "855-771-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 29TH ST",
            "address_2": "#570A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165125",
            "telephone_number": "916-733-3792",
            "fax_number": "916-733-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "ANN",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G55599",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "G55599",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G55599",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G55599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G555990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.