DR. FREDRICK HANSON


Address: 9850 Genesee Ave, Suite 780, La Jolla, CA 92037-1224
Phone: 8586257200

DR. FREDRICK HANSON (NPI# 1164507059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164507059
Entity Type Individual
Full Name DR. FREDRICK HANSON
Credential M.D.
Practice Address 9850 Genesee Ave
Suite 780
La Jolla
CA 92037-1224
Practice Telephone 8586257200
Practice Fax Number 8586258363
Mailing Telephone 8586257200
Mailing Fax Number 8586258363
Enumeration Date 2006-10-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
G-30478 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA G-304781 05

Office Location

Street Address 9850 GENESEE AVE
SUITE 780
City LA JOLLA
State CA
Zip Code 92037-1224

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598760589 Frank Edward Mayer Internal Medicine 9850 Genesee Ave, Ste 930, La Jolla, CA 92037-1229 2005-06-16
1649717737 La Jolla Anesthesia Associates Lp Nurse Anesthetist, Certified Registered 9850 Genesee Ave, Suite 980, La Jolla, CA 92037-1224 2017-01-26
1083151674 Stephanie Klein Physician Assistant 9850 Genesee Ave, Ste 320, La Jolla, CA 92037-1208 2017-01-20
1346785250 Lee Marie Atwood Nurse Practitioner 9850 Genesee Ave, Suite 400, La Jolla, CA 92037-1224 2017-01-01
1447795661 Kirsten Goshen Nurse Practitioner 9850 Genesee Ave, Suite 570, La Jolla, CA 92037-1224 2016-12-24
1194279901 Ellen Ashman Nurse Practitioner 9850 Genesee Ave, La Jolla, CA 92037-1224 2016-08-09
1164875175 Miranda Mulholland Nurse Practitioner 9850 Genesee Ave, Suite 560, La Jolla, CA 92037-1224 2016-07-14
1578938023 Schoemann Medical Corporation Surgery 9850 Genesee Ave, Suite 500, La Jolla, CA 92037-1224 2015-12-09
1679946040 Lauren E Campagna Physician Assistant 9850 Genesee Ave, Suite 320, La Jolla, CA 92037-1224 2015-11-07
1750751269 Charles Mears Specialist/Technologist, Other 9850 Genesee Ave, Suite210, La Jolla, CA 92037-1224 2015-09-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982221768 Equip Health Medical, PC Clinic/Center 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 2020-06-29
1134745474 Brenda Kay Wiederhold Psychologist Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 2020-06-23
1316581598 Kathleen M Blechertas Physical Therapist 9888 Genesee, Lj19, La Jolla, CA 92037 2019-10-31
1316592876 Kevin Yanyan Li Student in an Organized Health Care Education/Training Program 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 2019-08-01
1407400542 Juan J Salmeron Dentist Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 2019-07-26
1609428598 Nicole Whitney Mark Physician Assistant 8103 Caminito Sonoma, La Jolla, CA 92037 2019-07-11
1700357936 Cecelia Rose Greene/pendzich Mastectomy Fitter 7760 Fay Ave, Suite M., La Jolla, CA 92037 2018-12-16
1740765890 Jeenal Ankit Gordhandas Student in an Organized Health Care Education/Training Program East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 2018-09-25
1306325220 Lisa Beth Perlov Marks Marriage & Family Therapist 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 2018-08-10
1023596731 Uc San Diego, Pathology Dept Pathology East Campus Office Building, Medical Center Dr, San Diego, CA 92037 2018-08-03
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063753168 Byong M Kim Internal Medicine 8607 Nottingham Pl, La Jolla, CA 92037-2127 2013-03-14
1598039604 Kevin Peltier Glynn Internal Medicine 2247 Via Pravia, La Jolla, CA 92037-5841 2012-03-07
1831330109 Herman Field Froeb Internal Medicine 8336 Paseo Del Ocaso, La Jolla, CA 92037-3021 2009-03-17
1245426519 Wynnshang C. Sun Apc Internal Medicine 9850 Genesee Ave Ste 870, La Jolla, CA 92037-1233 2007-09-20
1669680757 Timothy Martin Fernandes Internal Medicine 9300 Campus Point Drive, Mail Code 7381, La Jolla, CA 92037-7381 2007-05-20
1316171283 Anuja Vyas Internal Medicine 9300 Campus Point Dr, Mail Code 7381, La Jolla, CA 92037-1300 2009-05-07
1912076365 La Jolla Pulmonary and Critical Care Inc. Internal Medicine 9850 Genesee Ave, Suite 780, La Jolla, CA 92037-1224 2006-11-07
1609975689 Arthur D. Dawson Internal Medicine 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 2006-09-22
1164522199 Kenneth Grudko Internal Medicine 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 2006-09-22
1902917784 D Scott Mccaul Internal Medicine 9850 Genesee Ave, Suite 780, La Jolla, CA 92037-1224 2006-08-31
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Competitor

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City LA JOLLA
Zip Code 92037

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Dataset Information

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.

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