Active NPI
Hayward Lynn Eubanks, M.D.
- Otolaryngology/Facial Plastic Surgery Physician
- Hawthorne, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- G54388
- Practice address
- 4477 W 118TH St Ste 205
Hawthorne, CA 90250-2257 - Phone
- (310) 679-0676
- Fax
- (310) 679-0087
- NPI assigned
- Jul 21, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | G54388 | CA | Primary |
Addresses
Primary practice location
4477 W 118TH St Ste 205
Hawthorne, CA 90250-2257
Mailing address
4477 W 118TH St
Suite# 205
Hawthorne, CA 90250-2255
Phone (310) 679-0676
Other practice location 1
5529 Secrest Dr
Los Angeles, CA 90043-2029
Phone (323) 296-3431
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of California, Geffen School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4477 W 118TH St
Suite 205
Hawthorne, CA 90250-2257
Phone (310) 679-0676
Hospital & facility affiliations
- California Hospital Medical Center la
- Kindred Hospital South Bay
- Kindred Hospital - Los Angeles
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G54388 | CA | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hayward L Eubanks M D a Medical Corporation | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients |
Locations
1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240
7601 Imperial Hwy
Downey, CA 90242
Phone (310) 940-8111
4477 W 118th St
Ste 205
Hawthorne, CA 90250
Phone (310) 679-0676
1670 E 120th St
Los Angeles, CA 90059
Phone (424) 338-1000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1780877613
-
- Otolaryngology/Facial Plastic Surgery Physician
- Hawthorne, CA
- NPI 1972650513
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
-
- Long Term Care Hospital
- Gardena, CA
- NPI 1215247978
Long-term care hospital
-
- Long Term Care Hospital
- Los Angeles, CA
- NPI 1447335146
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728777600000",
"number": "1023039815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4477 W 118TH ST",
"address_2": "SUITE# 205",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502255",
"telephone_number": "310-679-0676",
"fax_number": "310-679-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4477 W 118TH ST STE 205",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502257",
"telephone_number": "310-679-0676",
"fax_number": "310-679-0087"
}
],
"practiceLocations": [
{
"address_1": "5529 Secrest Dr",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900432029",
"country_code": "US",
"telephone_number": "323-296-3431",
"fax_number": "310-679-0087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUBANKS",
"first_name": "HAYWARD",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2024-10-13",
"certification_date": "2024-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CA",
"license": "G54388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.