Donna Hastert, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14672 Issued in CA

Practice address

27640 Encanto Dr
Suite B
Sun City, CA 92586-4542

Phone

(951) 672-7673

Fax

(951) 672-1197

NPI assigned

Sep 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology and Dermatopathology IncGroup PAC ID 0840391843, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Integrated Dermatology and Dermatopathology, Inc.

  • Procedural Dermatology Physician
  • Newport Beach, CA
  • NPI 1013136357
  Medicare reassignment Care Compare group
• Randy Jacobs Dermatology Inc.

  • Dermatology Physician
  • Sun City, CA
  • NPI 1699872630
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932204351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8516",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917480516",
            "telephone_number": "951-672-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27640 ENCANTO DR",
            "address_2": "SUITE B",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925864542",
            "telephone_number": "951-672-7673",
            "fax_number": "951-672-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTERT",
        "first_name": "DONNA",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H. Pourshirazi DMD, Inc (Sun City Dentistry)
• Nicole Hanley, FNP-BC
• Sandy Hanna, OD
• Todd Christopher Hanna, M.D.
• Guadalupe Haro Trujillo
• Thavisab Noy Hatlavongsa, D.D.S.
• Hematology/Oncology Consultants
• Hemet Emergency Med Group @ Menifee Hospital
• Christine Nareen Hermiz, DO
• Tanya Hirmiz

• Physician Assistant in Sun City, CA
• Providers in Sun City, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.