Individual provider Active NPI

Mary Patricia Hyslop, RN

  • Family Medicine Physician
  • Livermore, CA
National Provider Identifier
1013757657
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
569134 Issued in CA
Practice address
2441 Constitution Dr
Livermore, CA 94551-7573
Phone
(925) 505-4700
Fax
(925) 371-4410
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
569134CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.