Hannah Kern M.D., Inc.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

HANNAH KERN M.D., INC.

Practice address

354 Santa Fe Dr
Encinitas, CA 92024-5142

Phone

(760) 633-6507

NPI assigned

Oct 29, 2021

Organization subpart

No

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

Authorized official

Name

Hannah Kern, MDNPI 1700270287

Title

Owner

Phone

(833) 443-6287

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hannah Shull Kern, M.D.

  • Infectious Disease Physician
  • Encinitas, CA
  • NPI 1700270287

  CA, Infectious Disease

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1851055396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5506",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902315506",
            "telephone_number": "760-257-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245142",
            "telephone_number": "760-633-6507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4002 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564506",
            "country_code": "US",
            "telephone_number": "760-724-8411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "662 Encinitas Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920246791",
            "country_code": "US",
            "telephone_number": "833-446-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HANNAH KERN M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-443-6287",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF INCORPOERATION",
            "identifier": "4794986",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.

Verify at the official NPI Registry.