Active NPI
Abayomi S Jones, M.D.
- Family Medicine Physician
- Hayward, CA
National Provider Identifier
1073782520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C134916
- Practice address
- 25800 Carlos Bee Blvd
Hayward, CA 94542-3000 - Phone
- (520) 222-9664
- Fax
- (202) 269-7990
- NPI assigned
- Feb 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD037390 | DC | |
| Family Medicine Physician | 207Q00000X | D0073275 | MD | |
| Family Medicine Physician | 207Q00000X | C134916 | CA | Primary |
Addresses
Primary practice location
25800 Carlos Bee Blvd
Hayward, CA 94542-3000
Mailing address
PO Box 1683
Richmond, CA 94802-0683
Phone (202) 222-9664
Other names 1
- Abayomi S Hendje
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C134916 | CA | MD | Family Medicine Physician |
| MD037390 | DC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Immediate Care FP, LLC | Family Medicine | Current | Accepting new patients |
| Rams Medical LLC | Current | Accepting new patients |
Locations
590 Lanier Ave W
Fayetteville, GA 30214
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
191 S Marietta Pkwy SW
Marietta, GA 30064
Phone (404) 939-4979
Organizations & group practices 2
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.
-
- Diagnostic Ultrasound Physician
- Albany, CA
- NPI 1144051608
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578873600000",
"number": "1073782520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1683",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948020683",
"telephone_number": "202-222-9664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25800 CARLOS BEE BLVD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945423000",
"telephone_number": "520-222-9664",
"fax_number": "202-269-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ABAYOMI",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2020-01-13",
"certification_date": "2020-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "MD037390",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0073275",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C134916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABAYOMI",
"last_name": "HENDJE",
"middle_name": "S",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.