PAUL NOLAN HAZELBAKER DO
NPI 1831106103
Internal Medicine in San Diego, CA

Active since August 01, 2006PECOS Enrolled
1250 6TH AVE, SUITE 100, SAN DIEGO, CA 92101(619) 515-2430(619) 578-2410 Get Directions Write a Review

NPPES record last updated: October 19, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 19, 2017, Oct 20, 2016 (2 updates tracked since 2016).

About Paul Nolan Hazelbaker Do NPPES

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

PAUL NOLAN HAZELBAKER DO (NPI 1831106103) is an individual internal medicine provider in San Diego, California, licensed in California (20A7147) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831106103
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL NOLAN HAZELBAKERCredential: DO
Location Address1250 6TH AVE, SUITE 100San Diego, CA 92101-4300
Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 906-4564
Fax(619) 578-2410
Sole ProprietorYes
Enumeration DateAugust 1, 2006
Last NPPES UpdateOctober 19, 20172 updates tracked since enumeration
NPI 1831106103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · 20A7147
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1250 6TH AVE, San Diego, CA 92101

Other Identifiers 1

Medicare UPINH24439CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Paul Nolan Hazelbaker Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims22 services$2.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

Case Manager/Care Coordinator
1250 6TH AVE
SAN DIEGO, CA 92101
Dental Hygienist
1250 6TH AVE, APT # 416
SAN DIEGO, CA 92101
Social Worker (Clinical)
1250 6TH AVE
SAN DIEGO, CA 92101
Psychiatric Hospital
1250 6TH AVE
SAN DIEGO, CA 92101
Social Worker
1250 6TH AVE
SAN DIEGO, CA 92101
Case Manager/Care Coordinator
1250 6TH AVE
SAN DIEGO, CA 92101
Social Worker
1250 6TH AVE
SAN DIEGO, CA 92101
Counselor (Addiction (Substance Use Disorder))
1250 6TH AVE
SAN DIEGO, CA 92101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831106103, enumerated as an "individual" on August 01, 2006.

The provider is located at 1250 6TH AVE SUITE 100 SAN DIEGO, CA 92101 and the phone number is (619) 515-2430.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.