Karyn Haitz

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A175492 Issued in CA

Practice address

3772 Katella Ave Ste 206
Los Alamitos, CA 90720-6428

Phone

(562) 430-4294

Fax

(562) 493-3573

NPI assigned

Jun 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Harvard Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Howard Fein MD IncGroup PAC ID 4082678305, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karyn.haitz@pd.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Howard Fein MD Inc

  • Dermatology Physician
  • Rllng HLS Est, CA
  • NPI 1073795266
  Medicare reassignment Care Compare group NPD
• Patient Preferred Dermatology Medical Group, Inc.

  • Specialist
  • Los Alamitos, CA
  • NPI 1851459234
  NPD
• Howard Fein PC

  • Dermatology Physician
  • Rolling Hills Estates, CA
  • NPI 1003633140
  NPD (past)
• Island Dermatology, Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1508815556
  NPD (past)
• Palos Verdes Skin Surgery Ctr Inc

  • Ambulatory Surgical Clinic/Center
  • Rolling Hills Estates, CA
  • NPI 1285028803
  NPD (past)

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1962932384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 INNOVATION DR STE 400",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675997",
            "telephone_number": "562-430-4294",
            "fax_number": "562-493-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 KATELLA AVE STE 206",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206428",
            "telephone_number": "562-430-4294",
            "fax_number": "562-493-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAITZ",
        "first_name": "KARYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "271832",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A175492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indu Gupta, MD
• Rick Gutierrez, COTA/L
• Kerry Frederick Hahn, D.D.S.
• Rhoda K Hahn, MD
• William Andrew Hailey, APCC
• Tara Ann Hakala, M.P.T.
• Anne Kelly Hall, PHYSICIAN ASSISTANT
• Lori Hallett, M.A.
• Sanaz Hamidi, M.D
• Tekla Francis Hamilton

• Dermatology Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.
• 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.