Jacqueline H Hattar, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

23040 Issued in CA

Practice address

43839 15TH St W
Lancaster, CA 93534-4756

Phone

(661) 945-5984

NPI assigned

Jun 27, 2013

Last updated

Sep 27, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• High Desert Medical Group

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1720196702
  Medicare reassignment

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1821438318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PARKMEADOW CT",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935515502",
            "telephone_number": "661-406-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43839 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344756",
            "telephone_number": "661-945-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTAR",
        "first_name": "JACQUELINE",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "23040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray H Hashemi, MD PHD
• Shahid Hassan, M.D.
• Hathaway Sycamores Child and Family Services (Sycamores)
• Hathaway Sycamores Child and Family Services (Sycamores)
• Hathaway Sycamores Child and Family SVCS (Sycamores)
• Tonieka Davetta Hauck
• Christian Chavat Hauser, P.A-C
• Jenna Nichole Hauss
• Haykuhi Havanjyan
• Shauna Havlina, MS LMFT

• Medical Physician Assistant in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.

Verify at the official NPI Registry.