Ken J Hine – Anesthesiology Physician

Key facts

NPI: 1770146086
Entity type: Individual (NPI type 1)
Primary specialty: Anesthesiology Physician 207L00000X
License: A180141 (CA)
Practice address: 1555 Soquel Dr
Santa Cruz, CA 95065-1794
Phone: (831) 462-7700
NPI assigned: Apr 22, 2019
Sex: Male
Sole proprietor: Yes

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.

Anesthesia Medical Group of Santa Cruz, Inc. Anesthesiology Physician · Santa Cruz, CA · NPI 1871541144

Medicare reassignment Care Compare group NPD ANESTHESIOLOGY · CA
Hine Anesthesia Medical Corporation Anesthesiology Physician · Santa Cruz, CA · NPI 1699651612

NPD Authorized official ANESTHESIOLOGY

Hospital & facility affiliations 1

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

Dignity Health General Acute Care Hospital · Santa Cruz, CA · NPI 1427181007

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Anesthesiology
Education: Drexel University College of Medicine, 2019
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Anesthesia Medical Group of Santa Cruz Inc (19 clinicians)

Practice addresses (Care Compare)

1555 Soquel Dr
Santa Cruz, CA 95065-1705
Phone (831) 462-7700

Hospital & facility affiliations

Dominican Hospital Hospital · Santa Cruz, CA · CCN 050242

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20250702001767	CA	Practitioner - Anesthesiology	1759894769	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
A180141	CA	MD	Anesthesiology Physician

Practice roles

Organization	Specialty	Status	New patients
Anesthesia Medical Group of Santa Cruz, Inc.	Anesthesiology	Current since Aug 1, 2025	Accepting new patients
Hine Anesthesia Medical Corporation	Anesthesiology	Current	Accepting new patients

Locations

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

Interoperability endpoints

Direct secure messaging: khine303653@direct.llu.edu

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Anesthesiology Physician	207L00000X	A180141	CA	Yes

Addresses

Primary practice location

1555 Soquel Dr
Santa Cruz, CA 95065-1794

Mailing address

11455 Aster St Apt 1/2
Loma Linda, CA 92354-3401

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 9, 2025.

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1770146086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11455 ASTER ST APT 1/2",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOQUEL DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651794",
            "telephone_number": "831-462-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINE",
        "first_name": "KEN",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A180141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

All providers in Santa Cruz, CA · Anesthesiology Physician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.