MR. KEVIN J HASENAUER (NPI# 1063526101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063526101 |
| Entity Type | Individual |
| Full Name | MR. KEVIN J HASENAUER |
| Credential | M.D. |
| Practice Address |
528 Capitola Ave Capitola CA 95010-2750 |
| Mailing Address |
1595 Soquel Dr Ste 330 Santa Cruz CA 95065-1722 |
| Practice Telephone | 8314751630 |
| Practice Fax Number | 8314751629 |
| Mailing Telephone | 8314657761 |
| Mailing Fax Number | 8314651156 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G78444 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0028551 | 05 |
| Street Address |
528 CAPITOLA AVE |
| City | CAPITOLA |
| State | CA |
| Zip Code | 95010-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225040488 | Nancy L Greenstreet | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-08-13 |
| 1649603325 | Farnoush Ghaderi | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2013-08-16 |
| 1144426883 | Dignity Health Medical Foundation | Clinic/Center | 528 Capitola Ave, Capitola, CA 95010-2750 | 2007-06-21 |
| 1538268412 | Jacqueline H. Sedgwick | Preventive Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-09-21 |
| 1750484754 | James Edward Riley | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-09-06 |
| 1306953005 | Western Medical Associates | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-08-25 |
| 1891802112 | Darlene A Zanker | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-08-23 |
| 1003929720 | Robert P. Chen | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-08-16 |
| 1144233610 | Gael F Decleve | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609436641 | Suzanne Lerner | Psychologist | 720a Capitola Ave, Capitola, CA 95010 | 2019-06-20 |
| 1801351317 | Michael Stephen Quinn | Chiropractor | 720 A- Capitola Ave, Capitola, CA 95010 | 2019-02-08 |
| 1053885194 | Health In Mind P.C. | Psychiatry & Neurology | 610 Capitola Ave, Capitola, CA 95010 | 2019-01-11 |
| 1427547355 | Jerry Wallace Fulford | Massage Therapist | 4170 Gross Rd. Extension, Suite 6, Capitola, CA 95010 | 2018-05-07 |
| 1457730293 | Cpap Experts LLC | Durable Medical Equipment & Medical Supplies | 820 Bay Ave #203a, Capitola, CA 95010 | 2015-05-26 |
| 1972904241 | Molly Chaudoir | Acupuncturist | 4170 Gross Rd. Ext., Suite 6, Santa Cruz, CA 95010 | 2014-09-05 |
| 1245598374 | Stan C Wolken | Dentist | 4770 Capitola Rd, Capitola, CA 95010 | 2012-04-26 |
| 1104103399 | Jacinda Ann Maurer | Registered Nurse | 4725 Grace Street, Apt. 1, Capitola, CA 95010 | 2011-11-16 |
| 1508043225 | Brian J. Schabel, Dds, Ms & Vivian H. Chan, Dds, Ms, Inc. | Dentist | 1830 41st Ave., Capitola, CA 95010 | 2008-01-24 |
| 1609066679 | Sandra Polakoff | Marriage & Family Therapist | 519 Capitola Avenue, Suite B, Capitola, CA 95010 | 2007-07-26 |
| Find all providers in zip 95010 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114074309 | Filomena Fatima Trindade | Family Medicine | 720 Capitola Ave Ste A, Capitola, CA 95010-2784 | 2007-01-03 |
| 1225040488 | Nancy L Greenstreet | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-08-13 |
| 1821098468 | Wendy Therese Cicek Steiger | Family Medicine | 1820 41st Ave Ste C, Capitola, CA 95010-2516 | 2005-07-26 |
| 1649603325 | Farnoush Ghaderi | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2013-08-16 |
| 1750484754 | James Edward Riley | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-09-06 |
| 1306953005 | Western Medical Associates | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-08-25 |
| 1891802112 | Darlene A Zanker | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-08-23 |
| 1306959390 | Lorena Bischoff Russo | Family Medicine | 1820 41st Ave Ste C, Capitola, CA 95010-2516 | 2006-08-16 |
| 1003929720 | Robert P. Chen | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-08-16 |
| 1144233610 | Gael F Decleve | Family Medicine | 528 Capitola Ave, Capitola, CA 95010-2750 | 2006-08-14 |
| Find all providers in CAPITOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.