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Deactivated NPI 1073591038 Deactivated / Inactive NPI Male Practitioner

Dr. Frederick J Hass , MD

General Practice • San Rafael, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Frederick Hass has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 09, 2006
NPI Deactivation Date June 19, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Hass, MD was a registered General Practice practicing in San Rafael, CA. Throughout an active medical career spanning 18 years, Dr. Hass provided care at the practice location at 750 LAS GALLINAS AVE until profile deactivation on 2024-06-19.

Historical Medicare Part B clinical services included subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility visit, nursing facility discharge management, more than. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

750 Las Gallinas Ave

San Rafael, CA 94903

Telephone 4154791771
Fax 4155079557
Associated Practice Facility / Clinic
🏢 Bonnie Nickel, M.d, Facility NPI 1649349283

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in San Rafael, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
12 Specialists

Practicing in San Rafael, CA (2300 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
33.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
291 21 $150.00 $99.87
99306 Initial nursing facility visit, typically 45 minutes per day
20 16 $270.00 $180.37

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA C27265

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
NPI 1003981622

Doctor of Dental Surgery

Dr. Michael Dab , DDS

Dentist - General Practice

NPI 1063416311

Doctor of Dental Surgery

Dr. Igor Ochev , DDS

Dentist - General Practice

NPI 1164467700

Doctor of Dental Surgery

Dr. Paul Burmaster , DDS

Dentist - General Practice

NPI 1275975450

Doctor of Dental Surgery

Dr. Mason Lee , DDS, APC

Oral & Maxillofacial Surgery

NPI 1316007305

Doctor of Dental Surgery, APC

Theresa Kamler , CMT

Massage Therapist

NPI 1447556402

Certified Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated June 19, 2024

Record deactivated on June 19, 2024

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Updated Practice Location July 22, 2019

Registered at 11 SANDSTONE CT, SAN RAFAEL, CA 94903 (Tel: 4152462004)

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Updated Business Mailing Address July 22, 2019

Registered at 11 SANDSTONE CT, SAN RAFAEL, CA 949031432 (Tel: 4152462004)

NPI Profile Active September 26, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 26, 2008

Registered at 750 LAS GALLINAS AVE, SAN RAFAEL, CA 94903 (Tel: 4154791771)

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Updated Business Mailing Address September 26, 2008

Registered at 750 LAS GALLINAS AVE, #106, SAN RAFAEL, CA 94903 (Tel: 4154791771)

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Provider Name / Credentials Updated September 26, 2008

Recorded as FREDERICK HASS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2008

General Practice (License #C27265 in CA)

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Initial NPI Registration & Enumeration January 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073591038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2006
Last Update: September 26, 2008
Deactivation Date: June 19, 2024

Mailing Address

750 Las Gallinas Ave, #106

San Rafael, CA 94903

Phone: 4154791771

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.