Active NPI
Kevin Eugene Hearn, PA-C
- Medical Physician Assistant
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 52488
- Practice address
- 3905 Waring Rd
Oceanside, CA 92056-4405 - Phone
- (760) 724-9000
- Fax
- (760) 724-3686
- NPI assigned
- Aug 7, 2015
- Last updated
- Mar 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 52488 | CA | Primary |
| Surgical Physician Assistant | 363AS0400X | PA52488 | CA |
Addresses
Primary practice location
3905 Waring Rd
Oceanside, CA 92056-4405
Mailing address
3905 Waring Rd
Oceanside, CA 92056-4405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA52488 | Other | CA | CA MEDICAL LICENSE # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khearn43680@edirect.emc.org | Health Information Exchange (HIE) |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA52488 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Tri-City Orthopaedic Surgery Medical Group Inc | Current | Accepting new patients | |
| Tri City Orthopaedic Surgery Medical Group Inc | Current | Accepting new patients | |
| Desert Orthopedic Center a Medical Group Inc | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3905 Waring Rd
Oceanside, CA 92056
Phone (760) 477-1350
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778
Interoperability endpoints
- khearn@osnc2021.srs-direct.com
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.
-
dba Orthopaedic Specialists of North County, Inc
- Orthopaedic Surgery Physician
- Oceanside, CA
- NPI 1861451445
-
dba Woundtech of California
- Infectious Disease Physician
- Los Angeles, CA
- NPI 1518309368
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1396526026
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
dba Orthopaedic Specialists of North County Inc
- Orthopedic Physical Therapist
- Vista, CA
- NPI 1912314303
-
dba Desert Orthopedic Pain Management Clinic
- Durable Medical Equipment & Medical Supplies
- Rancho Mirage, CA
- NPI 1598301764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1932585361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 WARING RD",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 WARING RD",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564405",
"telephone_number": "760-724-9000",
"fax_number": "760-724-3686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARN",
"first_name": "KEVIN",
"middle_name": "EUGENE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-07",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "52488",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA52488",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL LICENSE #",
"identifier": "PA52488",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khearn43680@edirect.emc.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "39000 Bob Hope Dr",
"address_2": "Harry & Diane Rinker Building",
"city": "Rancho Mirage",
"state": "CA",
"country_code": "US",
"postal_code": "922703221",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oceanside, CA
- Health Link Medical Group Inc
- Health Link Medical Management Services LLC
- Health Psychology Center, P.C.
- Health-Link Medical Center
- Healthright360 (Serenity Outpatient Oceanside)
- Heart Care Associates, a Medical Corporation
- Heart Care Associates, a Medical Corporation
- Abigail Heaslet
- Hebeyo Acupuncture, Inc. (Oceanside Acupuncture)
- Hannah Heimer, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.