Individual provider Active NPI

Peter Hahn, MD

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1952742744
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A131717 Issued in CA
Practice address
3030 Childrens Way
San Diego, CA 92123
Phone
(858) 966-6789
NPI assigned
Jul 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A131717 CA Primary

Addresses

Primary practice location

3030 Childrens Way
San Diego, CA 92123

Mailing address

3020 Childrens Way # Mc5003
San Diego, CA 92123-4223
Phone (858) 966-6789

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180912003240 CA Practitioner - Orthopedic Surgery 8628387719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Irvine, California College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 N Euclid Ave
Suite 202
Upland, CA 91786-4779
Phone (909) 596-4346

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.24 of 100Reported as group
Quality
62.82
Improvement activities
40
Cost
83.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A131717CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine and Orthopaedic Institute Orthopaedic Surgery CurrentSince Aug 14, 2020 Accepting new patients
Premier Orthopaedic Trauma Specialists, PMC Orthopaedic Surgery CurrentSince Aug 14, 2020 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Tichenor Lowman Miller Medical Group Inc Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Marilyn Kaufhold, M.D., a Medical Corporation Past Accepting new patients

Locations

2140 Grand Ave
Ste 120
Chino Hills, CA 91709
Phone (909) 392-2002

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

160 E Artesia St
Ste 255
Pomona, CA 91767
Phone (909) 620-0900

1770 N Orange Grove Ave
Ste 210
Pomona, CA 91767
Phone (626) 836-6900

400 N Mountain Ave
Ste 100
Upland, CA 91786

400 N Mountain Ave
Ste 310
Upland, CA 91786
Phone (909) 920-0876

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

600 N Euclid Ave
Ste 202
Upland, CA 91786
Phone (840) 237-3344

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: phahnmedstu109232@direct.memorialcare.org
  • Direct secure messaging: peter.hahn.1@20474.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1952742744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY # MC5003",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 CHILDRENS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-966-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A131717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.