NPIMap

Individual provider Active NPI

Jennifer Hamblin, MMS, PA-C, ATC

  • Physician Assistant
  • El Cajon, CA
National Provider Identifier
1629457403
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52439 Issued in CA
Practice address
300 S Pierce St
El Cajon, CA 92020-4124
Phone
(619) 334-4869
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52439 CA Primary

Addresses

Primary practice location

300 S Pierce St
El Cajon, CA 92020-4124

Mailing address

300 S Pierce St
El Cajon, CA 92020-4124
Phone (619) 334-4869

Other names 1

  • Jennifer Pratt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710002176 CA Practitioner - Physician Assistant 2365748639 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince May 1, 2022 Accepting new patients
Scripps Health Current Accepting new patients
Sonora Community Hospital CurrentSince May 1, 2022 Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

680 Guzzi Ln
Ste 105
Sonora, CA 95370
Phone (209) 532-0126

Interoperability endpoints

  • Direct secure messaging: jennifer.pratt.2@16606.direct.athenahealth.com
  • Direct secure messaging: jhamblin79494@scrippshlth.medalliesdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 13

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

View all 13

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonora Community Hospital 134 clinicians

Practice addresses (Care Compare)

680 Guzzi LN
Sonora, CA 95370-5288

Hospital & facility affiliations

  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335
  • Mark Twain Medical Center Hospital, San Andreas, CA, CCN 051332

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1629457403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PIERCE ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204124",
            "telephone_number": "619-334-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PIERCE ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204124",
            "telephone_number": "619-334-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLIN",
        "first_name": "JENNIFER",
        "credential": "MMS, PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PRATT",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.