Roger James Haley, M.D. F.A.C.P.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G36061 Issued in CA

Practice address

515 S Locust St
Visalia, CA 93277-2616

Phone

(559) 625-4630

Fax

(559) 625-4699

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Renal Medical Group

  • Specialist
  • Visalia, CA
  • NPI 1013189539
  NPD
• Kaweah Delta Health Care District

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013078393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S LOCUST ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772616",
            "telephone_number": "559-625-4630",
            "fax_number": "559-625-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S LOCUST ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772616",
            "telephone_number": "559-625-4630",
            "fax_number": "559-625-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "ROGER",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.D. F.A.C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G36061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG360610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abeer A. Hafez, D.D.S.,M.S.
• Jeffrey Lars Hagen, DPM
• Laurie Hagopian-Dresser, DO
• Jeffrey Hale, DNP, FNP-BC
• Tara Larae Hale
• Bruce Hall, M.D.
• Gerald Hall, CADC I
• Kathryn Hall, M.D.
• Codi Halsey
• Hilaria Danielle Halsted

• Specialist in Visalia, CA
• Providers in Visalia, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.