FREDERICK HASEMAN MD NPI 1114043320

NPI Information

NPI: 1114043320
Provider Name: FREDERICK HASEMAN, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
77 CASA ST
SUITE 203
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 544-6471
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Frederick Haseman, MD is a specialist in San Luis Obispo, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Frederick Haseman, MD NPI is 1114043320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

77 CASA ST
SUITE 203
SAN LUIS OBISPO, CA
ZIP 93405-803
Phone: (805) 544-6471

The enumeration date for this NPI number is 3/21/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		G28713	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G281730	MEDICAID	CALIFORNIA
2	G28173	OTHER	CALIFORNIA	STATE ID
3	G28173A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
4	A43638	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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