FREDERICK HASEMAN MD
NPI 1114043320
Specialist in San Luis Obispo, CA

Active since March 21, 2007
77 CASA ST, SUITE 203, SAN LUIS OBISPO, CA 93405(805) 544-6471 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Frederick Haseman Md NPPES

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

FREDERICK HASEMAN MD (NPI 1114043320) is an individual specialist in San Luis Obispo, California, licensed in California (G28713) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1114043320
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameFREDERICK HASEMANCredential: MD
Location Address77 CASA ST, SUITE 203San Luis Obispo, CA 93405-5803
Mailing Address4889 Cherry AveSanta Maria, CA 93455-4951 · (805) 937-0465 · Fax (805) 597-8354
Sole ProprietorYes
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1114043320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G28713
Definition
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.
77 CASA ST, San Luis Obispo, CA 93405

Other Identifiers 4

Medicaid00G281730CA
OtherG28173CA · State Id
Medicare ID-Type UnspecifiedG28173ACA
Medicare UPINA43638CA

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.

Nurse Practitioner
77 CASA ST, SUITE 201-204
SAN LUIS OBISPO, CA 93405
Internal Medicine
77 CASA ST, SUITE 108
SAN LUIS OBISPO, CA 93405
Surgery
77 CASA ST, SUITE 103
SAN LUIS OBISPO, CA 93405
Chiropractor
77 CASA ST, 201
SAN LUIS OBISPO, CA 93405
Nurse Practitioner
77 CASA ST, SUITE 103
SAN LUIS OBISPO, CA 93405
Dentist (Oral and Maxillofacial Surgery)
77 CASA ST, SUITE 101
SAN LUIS OBISPO, CA 93405
Dentist (Oral and Maxillofacial Surgery)
77 CASA ST, SUITE 101
SAN LUIS OBISPO, CA 93405
Social Worker (Clinical)
77 CASA ST
SAN LUIS OBISPO, CA 93405

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 Frederick Haseman's NPI number?

The NPI number for Frederick Haseman is 1114043320. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Frederick Haseman located?

Frederick Haseman practices at 77 Casa St Suite 203, San Luis Obispo, CA 93405. The listed phone number is (805) 544-6471.

What is Frederick Haseman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Frederick Haseman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.