Active NPI
Mary Patricia Hyslop, RN
- Family Medicine Physician
- Livermore, CA
National Provider Identifier
1013757657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 569134
- Practice address
- 2441 Constitution Dr
Livermore, CA 94551-7573 - Phone
- (925) 505-4700
- Fax
- (925) 371-4410
- NPI assigned
- May 30, 2024
- Last updated
- May 30, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 569134 | CA | Primary |
Addresses
Primary practice location
2441 Constitution Dr
Livermore, CA 94551-7573
Mailing address
2441 Constitution Dr
Livermore, CA 94551-7573
Phone (925) 505-4700
Other practice location 1
31080 Union City Blvd Ste 203
Union City, CA 94587-4217
Phone (510) 745-7878
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 569134 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tempcare LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1013757657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 CONSTITUTION DR",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945517573",
"telephone_number": "925-505-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 CONSTITUTION DR",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945517573",
"telephone_number": "925-505-4700",
"fax_number": "925-371-4410"
}
],
"practiceLocations": [
{
"address_1": "31080 Union City Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Union City",
"state": "CA",
"postal_code": "945874217",
"country_code": "US",
"telephone_number": "510-745-7878",
"fax_number": "510-745-7902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYSLOP",
"first_name": "MARY",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-30",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "569134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livermore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.