Active NPI
Jeffrey Hawkins, FNP-BC
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1679126353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95012288
- Practice address
- 3075 Health Center Dr Ste 400
San Diego, CA 92123-2773 - Phone
- (858) 939-5864
- NPI assigned
- Jul 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95012288 | CA | Primary |
Addresses
Primary practice location
3075 Health Center Dr Ste 400
San Diego, CA 92123-2773
Mailing address
2358 University Ave # 220
San Diego, CA 92104-2720
Phone (310) 867-9669
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients |
Locations
435 H St
Chula Vista, CA 91910
Phone (619) 691-7000
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
Interoperability endpoints
- jhawkins327483@scrippshlth.medalliesdirect.net
- jeffrey.hawkins.1@13196.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1679126353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2358 UNIVERSITY AVE # 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921042720",
"telephone_number": "310-867-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 HEALTH CENTER DR STE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232773",
"telephone_number": "858-939-5864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "JEFFREY",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-22",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95012288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.