Kevin J Hardiman (NPI# 1336483718, PAC ID# 6204055817) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1336483718 |
| PAC ID by PECOS | 6204055817 |
| Professional Enrollment ID | I20140912002136 |
| Full Name | Kevin J Hardiman |
| Organization Legal Name | LA JOLLA EMERGENCY SPECIALISTS |
| Address |
9888 Genesee Ave La Jolla CA 92037-1205 |
| Phone Number | 8586266150 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1153552039 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050624 | HENRY MAYO NEWHALL HOSPITAL |
| 050324 | SCRIPPS MEMORIAL HOSPITAL LA JOLLA |
| Address | Phone | Organization |
|---|---|---|
| 9888 Genesee Ave, La Jolla, CA 92037-1205 | 8586266150 | LA JOLLA EMERGENCY SPECIALISTS |
| 23845 Mcbean Pkwy, Valencia, CA 91355-2001 | 6612538112 | SANTA CLARITA EMERGENCY MEDICAL GROUP INC |
| Organization Legal Name | LA JOLLA EMERGENCY SPECIALISTS |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony R Ferkich | Emergency Medicine | La Jolla Emergency Specialists | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Ian H Reilly | Emergency Medicine | La Jolla Emergency Specialists | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Eric F Barroso | Emergency Medicine | La Jolla Emergency Specialists | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Megan C Demott | Emergency Medicine | La Jolla Emergency Specialists | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Lisa M Morikado | Emergency Medicine | La Jolla Emergency Specialists | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Vijay Menon | Emergency Medicine | La Jolla Emergency Specialists | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Matthew T Ahern | Emergency Medicine | La Jolla Emergency Specialists | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Taylor Y Cardall | Emergency Medicine | La Jolla Emergency Specialists | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Daniel M Gromis | Emergency Medicine | La Jolla Emergency Specialists | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Christopher T Wiesner | Emergency Medicine | La Jolla Emergency Specialists | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Street Address |
9888 GENESEE AVE |
| City | LA JOLLA |
| State | CA |
| Zip | 92037-1205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew S Lai | Internal Medicine | Scripps Health | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Christine M Wang | Internal Medicine | Scripps Health | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Matthew J Perl | Emergency Medicine | Scripps Health | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Bella O Albakova | Physician Assistant | Scripps Health | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Amy G. Rosenbaum | Physician Assistant | Scripps Health | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Renee M Nelson | Obstetrics/gynecology | Scripps Health | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Mark C Hartmann | Physician Assistant | Scripps Health | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Isabel Cheon | Internal Medicine | Scripps Health | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Ronald Schlotfeldt | Internal Medicine | Scripps Health | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Chelsea E Cavignac | Physician Assistant | Scripps Health | 9888 Genesee Ave, La Jolla, CA 92037-1205 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marjan Davoudi | Psychologist, Clinical | 3262 Holiday Court, Suite 220, La Jolla, CA 92037 | |
| Vanessa R Wang | Physician Assistant | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Robert R Varney | Interventional Radiology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Gordon Lee Kim | Gastroenterology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Peter D Aldrich | Internal Medicine | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Katrina I Deleon | Geriatric Medicine | Scripps Health | 10666 N Torrey Pines Rd, 2nd Floor Sw209, La Jolla, CA 92037-1027 |
| Virginia T Chan | Hospitalist | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Laura J Nicholson | Hospitalist | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Christopher L Marsh | Urology | Scripps Health | 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 |
| Shazia M Jamil | Critical Care (intensivists) | Scripps Health | 10666 N Torrey Pines Rd, 2nd Floor Sw209, La Jolla, CA 92037-1027 |
| Find all physicians in zip 92037 | |||
| City | LA JOLLA |
| Zip Code | 92037 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LA JOLLA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Kevin J Hardiman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.