DR. FREDERICK J HASS


Address: 11 Sandstone Ct, San Rafael, CA 94903
Phone: 4152462004

DR. FREDERICK J HASS (NPI# 1073591038) 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) 1073591038
Entity Type Individual
Full Name DR. FREDERICK J HASS
Credential MD
Practice Address 11 Sandstone Ct
San Rafael
CA 94903
Mailing Address 11 Sandstone Ct
San Rafael
CA 94903-1432
Practice Telephone 4152462004
Mailing Telephone 4152462004
Enumeration Date 2006-01-09
Last Update Date 2019-07-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice C27265 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00C272650 05
CA MEDICARE ID 00C272650 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
750 Las Gallinas Ave, San Rafael, CA 94903 4154791771 4155079557

Office Location

Street Address 11 SANDSTONE CT
City SAN RAFAEL
State CA
Zip Code 94903

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
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1679064836 California In Home Care & Registry, Inc In Home Supportive Care 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 2018-05-23
1922557586 Helen Elizabeth Shamis Marriage & Family Therapist 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 2016-09-23
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1659736924 Robyn Bloom Marriage & Family Therapist 4 Joseph Court, San Rafael, CA 94903 2015-12-30
1851760565 Cheryl Clementson Substance Abuse Rehabilitation Facility 301 Smith Ranch Road, San Rafael, CA 94903 2015-09-23
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1083002315 Kaiser Permanente Psychiatric Unit 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 2015-01-09
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780940536 Alan Nmi Jarach General Practice 83 Sunny Oaks Dr, San Rafael, CA 94903-3084 2012-04-05
1558516559 Bertram G Katzung General Practice 65 Knoll Rd, San Rafael, CA 94901-3626 2008-11-18
1962693507 Miriam Jang General Practice 528 Biscayne Drive, San Rafael, CA 94901-8321 2007-08-08
1801825328 James Taylor General Practice 1155 Andersen Dr, Ste 1107, San Rafael, CA 94901-5336 2006-06-30
1518040336 Janice Dale Barry General Practice 711 D Street, Suite 102, San Rafael, CA 94904 2006-10-23
1437230752 Fred Sydney Schwartz General Practice 920 Grand Ave, San Rafael, CA 94901-3506 2006-10-17

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1316553530 Kimberly Ann Callaway General Practice 4893 Drakewood Ter, San Diego, CA 92130-1406 2020-09-22
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1922611896 Daniel Lynn Johnson General Practice 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 2020-08-28
1235755299 Hofmeister Medical, PC General Practice 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 2020-06-24
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Competitor

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City SAN RAFAEL
Zip Code 94903

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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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