Active NPI
Jay Allen Hartstein, MD
- Obstetrics & Gynecology Physician
- Lake Arrowhead, CA
National Provider Identifier
1013652114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G48651
- Practice address
- 250 Birchwood Dr.
Lake Arrowhead, CA 92352 - Phone
- (562) 858-9258
- NPI assigned
- May 3, 2022
- Last updated
- May 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G48651 | CA | Primary |
Addresses
Primary practice location
250 Birchwood Dr.
Lake Arrowhead, CA 92352
Mailing address
PO Box 3755
Lake Arrowhead, CA 92352-3755
Phone (562) 858-9258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G48651 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1013652114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "LAKE ARROWHEAD",
"state": "CA",
"postal_code": "923523755",
"telephone_number": "562-858-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 BIRCHWOOD DR.",
"city": "LAKE ARROWHEAD",
"state": "CA",
"postal_code": "92352",
"telephone_number": "562-858-9258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTSTEIN",
"first_name": "JAY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-03",
"last_updated": "2022-05-03",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G48651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Arrowhead, CA
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- Mary Edith Galvin, RNC FNP PHD
- Garfield Beach CVS LLC (CVS Pharmacy # 10999)
- Guy Gerald Giacopuzzi, DDS
- John Clarke Hankey, MD
- Shelley R Hasselman, NP
- Erika Brigitte Herrmann, FNP
- Katherine Victoria Herzog, NP
- Hi-Land Mountain Homes (Above it All Alcohol & Drug Treatment Center)
- Kwangja Lee Hong, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.