JENNIFER LEE HANLEY PA-C
NPI 1003065897
Physician Assistant - Surgical in San Diego, CA

NPI Status: Active since September 16, 2008

Contact Information

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120
Phone: (949) 632-5442

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  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About JENNIFER HANLEY

This page provides the complete NPI Profile along with additional information for Jennifer Hanley, a provider established in San Diego, California with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1003065897 assigned on September 2008. The practitioner's primary taxonomy code is 363AS0400X with license number 19927 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1003065897
Provider Name
JENNIFER LEE HANLEY PA-C
Other Name
JENNIFER LEE SCHMOLLINGER AND KISSEE PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
6655 ALVARADO RD SAN DIEGO, CA 92120
Location Phone
(949) 632-5442
Mailing Address
6450 TOPMAST DR CARLSBAD, CA 92011
Mailing Phone
(949) 632-5442
Is Sole Proprietor?
No
Enumeration Date
09-16-2008
Last Update Date
11-30-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
19927
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

PA19927 (CA)

Medicare Participation & PECOS Enrollment Status

Jennifer Hanley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003065897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030610818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 6 + 1 + 0 + 8 + 1 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1003065897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

FERNANDO ANTONIO ZAMUDIO MD

Internal Medicine

(Cardiovascular Disease)

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 583-0511

DR. CURTIS AUSTIN MCGUYER MD

Pathology

(Anatomic Pathology & Clinical Pathology)

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 229-3135

REZA H TIRGARI MD

Emergency Medicine

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 287-3270

ABDO SHOWAH MD

Anesthesiology

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 287-3271

LORI ANN HINKELMAN MD

Anesthesiology

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 287-3271

DR. RICHARD EDWARD SAFRIN MD

Pathology

(Anatomic Pathology & Clinical Pathology)

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 229-3135

CALIFORNIA EMERGENCY PHYSC MED GRP

Emergency Medicine

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 229-3130

PETER M. BERKMAN M.D.

Emergency Medicine

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 229-3130

ALVARADO PATHOLOGY ASSOCIATES, A MEDICAL CORPORATION

Pathology

(Anatomic Pathology & Clinical Pathology)

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 229-3135

JAMES D FOSTER M.D.

Emergency Medicine

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 229-3130

JAMES M. LARSON M.D.

Emergency Medicine

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 229-3130

DAMON N. LONDON M.D.

Emergency Medicine

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 229-3130

JOHN JAHAN, MD, INC

Physical Medicine & Rehabilitation

(Pain Medicine)

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 445-1755

ANTHONY W HUMPHREY RD

Dietitian, Registered

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 229-4611

JEANNE GUENTHER

Dietitian, Registered

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 229-3111

ALVARADO ANESTHESIA ASSOCIATES, INC

Anesthesiology

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 287-3270

DR. ANTHONY P. MOROCCO M.D.

Emergency Medicine

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 287-3270

DR. KATHLEEN NGOC PHAM PHARM.D.

Pharmacist

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 229-3150

FERNANDO A ZAMUDIO MD INC

Internal Medicine

(Cardiovascular Disease)

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(760) 230-1353

DINO N BARHOUM M.D.

Emergency Medicine

6655 ALVARADO RD
SAN DIEGO, CA
ZIP 92120

(619) 229-3130

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003065897, enumerated as an "individual" on September 16, 2008.

The provider is located at 6655 ALVARADO RD SAN DIEGO, CA 92120 and the phone number is (949) 632-5442.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.