David R. Hackley, M.D.

Primary specialty

Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X

License

G75801 Issued in CA

Practice address

9850 Genesee Ave.
Suite 210
La Jolla, CA 92037-1244

Phone

(858) 535-1075

Fax

(858) 453-9810

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Orthopedic Surgery

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Group practices

Northern Inyo Healthcare DistrictGroup PAC ID 8921992090, 104 clinicians

Southern Mono Health Care DistrictGroup PAC ID 9830002401, 94 clinicians

La Jolla Orthopedic Trauma IncGroup PAC ID 1153641170, 2 clinicians

Torrey Pines Orthopaedic Medical Group IncGroup PAC ID 8820077712, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Seaport Scripps Home Health Home health agency, San Diego, CA, CCN 057602
• Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: dhackley37917@scrippshlth.medalliesdirect.net

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.

• La Jolla Orthopedic Trauma Inc

  • Orthopaedic Trauma Physician
  • La Jolla, CA
  • NPI 1598154189

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Northern Inyo Healthcare District

  • Critical Access Hospital
  • Bishop, CA
  • NPI 1922198712
  Medicare reassignment Care Compare group NPD
• Southern Mono Health Care District

  • Critical Access Hospital Clinic/Center
  • Mammoth Lakes, CA
  • NPI 1962444059
  Medicare reassignment Care Compare group NPD
• Torrey Pines Orthopaedic Medical Group Inc

  • Orthopaedic Surgery Physician
  • La Jolla, CA
  • NPI 1982749586
  Medicare reassignment Care Compare group NPD
• Northern Inyo Healthcare District

  • Medicare Defined Swing Bed Hospital Unit
  • Bishop, CA
  • NPI 1669798815
  NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Southern Mono Health Care District

  • Rural Acute Care Hospital
  • Bridgeport, CA
  • NPI 1821149816
  NPD
• Torrey Pines Orthopaedic Medical Group Inc

  • Orthopaedic Surgery Physician
  • La Jolla, CA
  • NPI 1942344791
  NPD
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)
• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  NPD (past)

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

• Rancho Bernardo Healthcare LLC

  • Home Health Agency
  • San Diego, CA
  • NPI 1750906954
  Care Compare affiliation
• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1790703288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE.",
            "address_2": "SUITE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371244",
            "telephone_number": "858-535-1075",
            "fax_number": "858-453-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE.",
            "address_2": "SUITE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371244",
            "telephone_number": "858-535-1075",
            "fax_number": "858-453-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKLEY",
        "first_name": "DAVID",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G75801",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G75801",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "G75801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Izabella Ha
• Kiana Ha
• Estelle Hacher, MD
• Rhonda Lucy Hackshaw, PH.D.
• Elizabeth Nour Haddad, PHARMD
• Rouba Hadi
• Jane Marie Hadinger, CFNP, CPNP
• Siri Hadland, PSYD

• Orthopaedic Trauma Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Orthopaedic Trauma Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.
• Medicare Care Compare (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.