Individual provider Active NPI

Henry Scott Kane, M.D.

  • Psychiatry Physician
  • Chula Vista, CA
National Provider Identifier
1609839273
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C1711481 Issued in CA
Practice address
780 Bay Blvd Ste 203
Chula Vista, CA 91910-5261
Phone
(619) 842-2442
Fax
(619) 842-2443
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X C1711481 CA
Psychiatry Physician 2084P0800X C1711481 CA Primary

Addresses

Primary practice location

780 Bay Blvd Ste 203
Chula Vista, CA 91910-5261

Mailing address

780 Bay Blvd Ste 203
Chula Vista, CA 91910-5261
Phone (619) 842-2442

Other practice location 1

162 E Carson St Ste A
Colusa, CA 95932-2880
Phone (530) 458-0520

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
I20220112001814 CA Practitioner - Psychiatry 4284026758 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Del Sur HealthcareGroup PAC ID 1850827395, 61 clinicians

Practice addresses (Care Compare)

436 S Magnolia Ave
Suite 101
El Cajon, CA 92020-5219
Phone (760) 978-8596

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1711481CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Medical Associates, Inc. CurrentSince Nov 16, 2024 Accepting new patients
Zalewski-Zaragoza Professional Corporation Psychiatry Current Accepting new patients
Del Sur Healthcare CurrentSince Feb 22, 2025 Accepting new patients
County of Colusa CurrentSince Nov 1, 2021 Accepting new patients

Locations

780 Bay Blvd
Ste 203
Chula Vista, CA 91910
Phone (619) 255-1652

162 E Carson St
Ste A
Colusa, CA 95932
Phone (530) 458-0520

162 E Carson St
Colusa, CA 95932
Phone (530) 458-0520

436 S Magnolia Ave
Ste 101
El Cajon, CA 92020
Phone (760) 978-8596

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

Interoperability endpoints

  • Direct secure messaging: henry.kane.p1@direct.arch.nextgenshare.com

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1609839273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 BAY BLVD STE 203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105261",
            "telephone_number": "619-842-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 BAY BLVD STE 203",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105261",
            "telephone_number": "619-842-2442",
            "fax_number": "619-842-2443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 E Carson St Ste A",
            "address_purpose": "LOCATION",
            "city": "Colusa",
            "state": "CA",
            "postal_code": "959322880",
            "country_code": "US",
            "telephone_number": "530-458-0520",
            "fax_number": "530-458-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "HENRY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2024-01-18",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C1711481",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C1711481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.