STEPHANIE HA MD
NPI 1245825033
Military Health Care Provider in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Military Health Care Provider with taxonomy code 171000000X.

Active since March 04, 2021PECOS Enrolled

38400 BOB WILSON DR, SAN DIEGO, CA 92134(630) 863-3877 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 18, 2022, Mar 4, 2021 (2 updates tracked since 2021).

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About Stephanie Ha Md NPPES

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

STEPHANIE HA MD (NPI 1245825033) is an individual military health care provider provider in San Diego, California, licensed in Virginia (0101275834) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245825033

Entity TypeIndividualFemale

Primary Taxonomy171000000X

Provider Legal NameSTEPHANIE HACredential: MD

Location Address38400 BOB WILSON DRSan Diego, CA 92134-5000

Mailing Address38400 Bob Wilson DrSan Diego, CA 92134-5000 · (630) 863-3877

Phone(630) 863-3877

Sole ProprietorNo

Enumeration DateMarch 4, 2021

Last NPPES UpdateJuly 18, 20222 updates tracked since enumeration

NPPES CertifiedJuly 18, 2022

✔ NPI 1245825033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

License✔ Licensed in VA · 0101275834

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

38400 BOB WILSON DR, San Diego, CA 92134

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Ha Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.