Conrad Georg Hanstein, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

45341 Issued in MN

Practice address

3642 Camino de Las Lomas
Vista, CA 92084

Phone

(760) 707-7286

Fax

(866) 886-8914

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carris Health - Redwood LLC

  • Emergency Medicine Physician
  • Redwood Falls, MN
  • NPI 1265914048
  Medicare reassignment NPD
• International Falls Memorial Hospital Association

  dba Rainy Lake Medical Center

  • Critical Access Hospital
  • International Falls, MN
  • NPI 1528041183
  Medicare reassignment NPD
• Perham Hospital District

  dba Perham Health

  • Critical Access Hospital
  • Perham, MN
  • NPI 1790799518
  Medicare reassignment NPD
• Perham Hospital District

  dba Perham Health

  • Chiropractor
  • Perham, MN
  • NPI 1932113768

  Emergency Medicine

  Medicare reassignment NPD
• Sanford Health of Northern Minnesota

  dba Sanford Health Kelliher Clinic

  • Family Medicine Physician
  • Kelliher, MN
  • NPI 1770849697
  Medicare reassignment NPD
• St. Francis Medical Center

  dba St. Francis Healthcare Campus

  • Critical Access Hospital
  • Breckenridge, MN
  • NPI 1639162381
  Medicare reassignment NPD
• St. Francis Medical Center

  • Critical Access Hospital
  • Breckenridge, MN
  • NPI 1891954574
  Medicare reassignment
• Windom Area Hospital

  dba Windom Area Health

  • Critical Access Hospital
  • Windom, MN
  • NPI 1841288644
  Medicare reassignment
• Carris Health - Redwood LLC

  dba CentraCare Home Health

  • Home Health Agency
  • Redwood Falls, MN
  • NPI 1386126167
  NPD
• International Falls Memorial Hospital Association

  dba Rainy Lake Pharmacy

  • Pharmacy
  • International Falls, MN
  • NPI 1275284374
  NPD
• Perham Hospital District

  • Durable Medical Equipment & Medical Supplies
  • Perham, MN
  • NPI 1558630012
  NPD
• Sanford Health Network

  dba Sanford Luverne Clinic

  • Critical Access Hospital
  • Luverne, MN
  • NPI 1033495379

  Family Medicine

  NPD

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1972544369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3642 CAMINO DE LAS LOMAS",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846639",
            "telephone_number": "760-707-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3642 CAMINO DE LAS LOMAS",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "92084",
            "telephone_number": "760-707-7286",
            "fax_number": "866-886-8914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Clay St",
            "address_purpose": "LOCATION",
            "city": "Darlington",
            "state": "WI",
            "postal_code": "535301228",
            "country_code": "US",
            "telephone_number": "608-776-4466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "916 4th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Pipestone",
            "state": "MN",
            "postal_code": "561641890",
            "country_code": "US",
            "telephone_number": "507-825-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSTEIN",
        "first_name": "CONRAD",
        "middle_name": "GEORG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "41398-020",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A87958",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "45341",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "41398-020",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87958",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "45341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34066900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Jean Hanna, M.D.
• Ginger L. Hansen, D.D.S.
• Patricia Joan Hansen, RRT
• Timothy Scott Hansen, D.D.S
• Breena Hansink, RBT
• Nowrin Haque, MD
• Sarah Harding, DMD
• Emily Ann Hardy
• Shannon Arlene Hargreaves
• Lillian Harkin, PT

• Family Medicine Physician in Vista, CA
• Providers in Vista, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.

Verify at the official NPI Registry.