HAILEE VAN M.D.
NPI 1083050900
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since May 19, 2013PECOS EnrolledAccepts Medicare Assignment
7060 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92111(714) 386-2653 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hailee Van M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAILEE VAN M.D. (NPI 1083050900) is an individual student in an organized health care education/training program in San Diego, California, licensed in California (207Q00000X) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083050900
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHAILEE VANCredential: M.D.
Location Address7060 CLAIREMONT MESA BLVDSan Diego, CA 92111-1003
Mailing Address7060 Clairemont Mesa BlvdSan Diego, CA 92111-1003 · (714) 386-2653
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 19, 2013
Last NPPES UpdateDecember 15, 2021
NPI 1083050900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in CA · 207Q00000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7060 CLAIREMONT MESA BLVD, San Diego, CA 92111

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Hailee Van M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628385291
PECOS Enrollment IDI20160119002372
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111
Pharmacist
7060 CLAIREMONT MESA BLVD, FIRST FLOOR OUTPATIENT PHARMACY
SAN DIEGO, CA 92111
Family Medicine
7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111
Family Medicine
7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111
Family Medicine
7060 CLAIREMONT MESA BLVD, 6TH FLOOR
SAN DIEGO, CA 92111
Family Medicine
7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111
Pharmacist
7060 CLAIREMONT MESA BLVD, 1ST FLOOR OUTPATIENT PHARMACY
SAN DIEGO, CA 92111
Family Medicine
7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hailee Van's NPI number?

The NPI number for Hailee Van is 1083050900. It was assigned to this individual provider in the NPPES registry on May 19, 2013.

Where is Hailee Van located?

Hailee Van practices at 7060 Clairemont Mesa Blvd, San Diego, CA 92111. The listed phone number is (714) 386-2653.

What is Hailee Van's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hailee Van enrolled in Medicare?

Yes. Hailee Van is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Hailee Van was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.