Individual provider Active NPI

Kathleen Margaret Hase, CRNA

  • Certified Registered Nurse Anesthetist
  • Escondido, CA
National Provider Identifier
1992195663
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000906 Issued in CA
Practice address
488 E Valley Pkwy Ste 110
Escondido, CA 92025-3366
Phone
(717) 495-6693
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 041426836 IL
Certified Registered Nurse Anesthetist 367500000X 95000906 CA Primary

Addresses

Primary practice location

488 E Valley Pkwy Ste 110
Escondido, CA 92025-3366

Mailing address

2241 4TH Ave Unit 302
San Diego, CA 92101-2120
Phone (717) 495-6693

Other practice location 1

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (951) 788-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RIVERSIDE.COCDAW.CAC@CCDA.HCADIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180803001836 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416273727 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Anesthesiology of California PCGroup PAC ID 4385027770, 35 clinicians
Darin Rentz DO PCGroup PAC ID 7315333853, 131 clinicians

Practice addresses (Care Compare)

4002 Vista Way
Oceanside, CA 92056-4506
Phone (760) 724-8411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
95000906CAMDCertified Registered Nurse Anesthetist
041426836ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Escondido Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2018 Accepting new patients
Sound Physicians Anesthesiology of California PC Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2024 Accepting new patients
Amsurg Arcadia Anesthesia LP CurrentSince Feb 25, 2019 Accepting new patients
Darin Rentz DO PC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2025 Accepting new patients

Locations

488 E Santa Clara St
Ste 102
Arcadia, CA 91006
Phone (626) 359-9555

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

488 E Valley Pkwy
Ste 110
Escondido, CA 92025
Phone (760) 735-6290

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 1

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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1992195663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 4TH AVE UNIT 302",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012120",
            "telephone_number": "717-495-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E VALLEY PKWY STE 110",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253366",
            "telephone_number": "717-495-6693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4445 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014135",
            "country_code": "US",
            "telephone_number": "951-788-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASE",
        "first_name": "KATHLEEN",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2022-01-07",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041426836",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RIVERSIDE.COCDAW.CAC@CCDA.HCADIRECT.NET",
            "affiliation": "N",
            "address_1": "4445 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925014135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.