Individual provider Active NPI

Sahaphun Hansa, MD

  • Pulmonary Disease Physician
  • Bakersfield, CA
National Provider Identifier
1982659082
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G70534 Issued in CA
Practice address
3838 San Dimas St
Suite A250
Bakersfield, CA 93301-2284
Phone
(661) 323-5300
Fax
(661) 323-5455
NPI assigned
May 24, 2006
Last updated
May 13, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G70534 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G70534 CA
Pulmonary Disease Physician 207RP1001X G70534 CA Primary

Addresses

Primary practice location

3838 San Dimas St
Suite A250
Bakersfield, CA 93301-2284

Mailing address

3838 San Dimas St
Suite A250
Bakersfield, CA 93301-2284
Phone (661) 323-5300

Other identifiers 3

IdentifierTypeStateIssuer
123665900OtherUS DEPARTMENT OF LABOR
DC0466OtherCARAILROAD MEDICARE
7296536MedicaidCA

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
I20040712000624 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5991783581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of California, Geffen School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3838 San Dimas St
Suite A250
Bakersfield, CA 93301-1110
Phone (661) 323-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
49.15 of 100Reported as individual
Quality
0
Improvement activities
40
Cost
54.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70534CAMDPharmacist
G70534CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S Nick Hansa MD Inc Internal Medicine CurrentSince Mar 12, 2004 Accepting new patients
Premier Hospitalists of Bakersfield Inc Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Amy K Mehta MD, Inc Internal Medicine Current Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

1925 17th St
Bakersfield, CA 93301
Phone (661) 323-2295

3838 San Dimas St
Ste A250
Bakersfield, CA 93301
Phone (661) 323-5300

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

6401 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 327-0739

Organizations & group practices 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1982659082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST",
            "address_2": "SUITE A250",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012284",
            "telephone_number": "661-323-5300",
            "fax_number": "661-323-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST",
            "address_2": "SUITE A250",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012284",
            "telephone_number": "661-323-5300",
            "fax_number": "661-323-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSA",
        "first_name": "SAHAPHUN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G70534",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G70534",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G70534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "123665900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC0466",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7296536",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.