STEPHEN FREDERIC HANSEN (NPI# 1760775928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760775928 |
| Entity Type | Individual |
| Full Name | STEPHEN FREDERIC HANSEN |
| Credential | M.D. |
| Practice Address |
1036 Chalcedony St San Diego CA 92109-2625 |
| Practice Telephone | 8582201778 |
| Mailing Telephone | 8582201778 |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
G40000 | CA | Allopathic & Osteopathic Physicians |
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
G40000 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073158200 | Stephen Charles Hansen | Psychologist | 428 W Lawn St Apt 2, Rushville, IL 62681-1648 | 2019-11-12 |
| 1225226343 | Stephen W Hansen | Dentist | 10505 W Clearwater Ave, Bldg A, Kennewick, WA 99336-8613 | 2007-10-15 |
| 1649200742 | Stephen Lloyd Hansen | Internal Medicine | 1744 Alisal Ave, San Luis Obispo, CA 93401-3003 | 2006-07-04 |
| 1164491460 | Stephen M Hansen | Orthopaedic Surgery | 619s Bluff St, St George, UT 84770-3853 | 2006-03-17 |
| 1871123117 | Stephen Hansen | Social Worker | 1520 Logan Ave, Cheyenne, WY 82001-5138 | 2020-01-24 |
| 1235321878 | Stephen Ralph Hansen | Dentist | 1530 S Union Ave Ste 7, Tacoma, WA 98405-1954 | 2007-08-17 |
| Street Address |
1036 CHALCEDONY ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92109-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982113874 | Holly Mansur | Registered Nurse | 3663 Jewell Street, San Diego, CA 92109 | 2017-09-24 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1689113524 | Tyler Marquis | Pharmacist | 2636 Grand Avenue Apartment 326, San Diego, CA 92109 | 2017-02-13 |
| 1912372574 | Lonnie Butler | Doula | 841 Turquoise Street, F-405, San Diego, CA 92109 | 2015-12-08 |
| 1275924995 | Pratima S. Gowdar, Dds, Inc | Dentist | 4655 Cass St. Ste 104, San Diego, CA 92109 | 2015-02-17 |
| 1417388562 | Pacific Rim Pathology Medical Corporation | Clinical Medical Laboratory | 3030 Bunker Hill Street, Suite 201, San Diego, CA 92109 | 2013-11-27 |
| 1023379997 | Eric Berquist | Student in an Organized Health Care Education/Training Program | 2009 Reed Ave, San Diego, CA 92109 | 2012-06-06 |
| 1982996724 | Miramar Health Physicians Group | Acupuncturist | 1321 Garnet Avenue, San Diego, CA 92109 | 2011-05-12 |
| 1902109325 | Anna N Amagou | Behavioral Analyst | 2221 Felspar Street Apt #c, San Diego, CA 92109 | 2010-12-07 |
| Find all providers in zip 92109 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326548363 | Paul Manchester | Preventive Medicine | 11159 Corte Pleno Verano, San Diego, CA 92130-2688 | 2018-02-16 |
| 1144593989 | Laura Buehning | Preventive Medicine | 4015 Carmel View Rd, 184, San Diego, CA 92130-2394 | 2012-02-09 |
| 1336422252 | Kathleen Gray | Preventive Medicine | 3930 4th Ave Ste 200, San Diego, CA 92103-3119 | 2011-09-27 |
| 1942321930 | Ira Lee Goodman | Preventive Medicine | 4316 Corte De La Fonda, San Diego, CA 92130-2126 | 2007-04-03 |
| 1174625982 | Marcel Brysk | Preventive Medicine | 4269 Hawk St, `, San Diego, CA 92103-1316 | 2006-09-02 |
| 1881663581 | Christine Maura Schindler | Preventive Medicine | 3300 Craven Street Building 3300, 32nd Street Naval Station Branch Medical Clinic, San Diego, CA 92136-5599 | 2006-03-15 |
| 1659341089 | Kenichi Carrigan | Preventive Medicine | 3235 Albacore Alley, San Diego, CA 92136 | 2006-01-26 |
| 1710979877 | Michael Bezouska | Preventive Medicine | 4490 Fanuel St, San Diego, CA 92109-8737 | 2005-08-16 |
| 1619977618 | Margaret Ryan | Preventive Medicine | Nhrc Code 25, Box 85122, San Diego, CA 92186-5122 | 2005-08-01 |
| 1386856896 | John Francis Lorentz | Preventive Medicine | 2001 4th Ave, San Diego, CA 92101-2303 | 2007-05-04 |
| Find all providers in SAN DIEGO | ||||
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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.