Individual provider Active NPI

Stephen H Hanson, PA-C

  • Medical Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1790710655
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 11069 Issued in CA
Practice address
9530 Hageman Rd B-204
California PA Staffing Inc
Bakersfield, CA 93312-3959
Phone
(661) 742-7121
Fax
(661) 589-2326
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 11069 CA Primary

Addresses

Primary practice location

9530 Hageman Rd B-204
California PA Staffing Inc
Bakersfield, CA 93312-3959

Mailing address

9530 Hageman Rd B-204
California PA Staffing Inc
Bakersfield, CA 93312-3959
Phone (661) 742-7121

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051003000917 CA Practitioner - Physician Assistant 1456386994 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 11069CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Emergency Medical Corp. Past Accepting new patients
Shankar Raman Inc Past Accepting new patients

Organizations & group practices 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1790710655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 HAGEMAN RD B-204",
            "address_2": "CALIFORNIA PA STAFFING INC",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933123959",
            "telephone_number": "661-742-7121",
            "fax_number": "661-589-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 HAGEMAN RD B-204",
            "address_2": "CALIFORNIA PA STAFFING INC",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933123959",
            "telephone_number": "661-742-7121",
            "fax_number": "661-589-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 11069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.