Active NPI
Hala Kazanchi Medical Corp
- Psychiatry Physician
- La Jolla, CA
National Provider Identifier
1841660289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A126947
- Legal business name
- HALA KAZANCHI MEDICAL CORP
- Practice address
- 9888 Genesee Ave
La Jolla, CA 92037-1205 - Phone
- (619) 948-0944
- NPI assigned
- Sep 28, 2015
- Last updated
- Sep 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hala Kazanchi, M.D.
- Title
- President
- Phone
- (619) 948-0944
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A126947 | CA | Primary |
Addresses
Primary practice location
9888 Genesee Ave
La Jolla, CA 92037-1205
Mailing address
PO Box 2906
La Jolla, CA 92038-2906
Phone (619) 948-0944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- San Diego, CA
- NPI 1316244841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443398400000",
"number": "1841660289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2906",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920382906",
"telephone_number": "619-948-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9888 GENESEE AVE",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371205",
"telephone_number": "619-948-0944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALA KAZANCHI MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-28",
"last_updated": "2015-09-28",
"status": "A",
"authorized_official_last_name": "KAZANCHI",
"authorized_official_first_name": "HALA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-948-0944",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A126947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.