Individual provider Active NPI

Jimmy Hao, NP-C

  • Family Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1861239477
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030548 Issued in CA
Practice address
499 N El Camino Real Ste C-200511
Encinitas, CA 92024-1366
Phone
(650) 833-8483
NPI assigned
Jul 10, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030548 CA Primary

Addresses

Primary practice location

499 N El Camino Real Ste C-200511
Encinitas, CA 92024-1366

Mailing address

1382 Frankfort St Apt 2206
San Diego, CA 92110-3774
Phone (650) 833-8483

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
I20241014003934 CA Practitioner - Nurse Practitioner 2769914845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somagen Healthcare IncGroup PAC ID 1557530151, 53 clinicians
Rebeccah Rodriguez Regner LLCGroup PAC ID 2264804285, 2 clinicians

Practice addresses (Care Compare)

1740 Rosecrans St
San Diego, CA 92106-1928
Phone (619) 790-7800

499 N El Camino Real
Suite C200
Encinitas, CA 92024-1358
Phone (602) 421-4204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030548CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somagen Healthcare Inc CurrentSince Oct 1, 2024 Accepting new patients
Somagen Healthcare Inc Current Accepting new patients
Rebeccah Rodriguez Regner LLC CurrentSince Oct 5, 2024 Accepting new patients
Somagen Healthcare Inc CurrentSince Oct 1, 2024 Accepting new patients
Somagen Healthcare Inc Past Accepting new patients
Somagen Healthcare Inc Past Accepting new patients
Somagen Healthcare Inc Past Accepting new patients
Somagen Healthcare Inc Past Accepting new patients

Locations

760 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 821-2300

750 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 259-9462

499 N El Camino Real
Ste C200
Encinitas, CA 92024
Phone (760) 635-7800

1740 Rosecrans St
San Diego, CA 92106
Phone (619) 790-7800

8260 Mira Mesa Blvd
Ste A
San Diego, CA 92126
Phone (855) 362-9773

8590 Rio San Diego Dr
Ste 111
San Diego, CA 92108
Phone (619) 736-4600

5671 Balboa Ave
San Diego, CA 92111
Phone (855) 362-9773

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1861239477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 FRANKFORT ST APT 2206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103774",
            "telephone_number": "650-833-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 N EL CAMINO REAL STE C-200511",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241366",
            "telephone_number": "650-833-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAO",
        "first_name": "JIMMY",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.