Thomas B Hazlehurst, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G37365 Issued in CA

Practice address

1900 Sullivan Ave
Daly City, CA 94015-2200

Phone

(650) 400-0277

Fax

(650) 340-1785

NPI assigned

Aug 8, 2006

Last updated

Oct 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

HospitalistAlso: Internal Medicine

Education

Medical College of Georgia School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas B Hazlehurst M DGroup PAC ID 7315980414, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ahmc Seton Medical Center Nursing home, Daly City, CA, CCN 555235

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Ahmc Seton Medical Center LLC

  dba Seton Medical Center, Seton Medical Center Coastside

  • General Acute Care Hospital
  • Daly City, CA
  • NPI 1386252112

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Ahmc Seton Medical Center LLC

  dba Seton Medical Center,Seton Medical Center Coastside

  • General Acute Care Hospital
  • Daly City, CA
  • NPI 1841809415

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Thomas B Hazlehurst, M.D.

  • Internal Medicine Physician
  • Daly City, CA
  • NPI 1205846789
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahmc Seton Medical Center LLC

  dba Seton Medical Center, Seton Medical Center Coastside

  • General Acute Care Hospital
  • Daly City, CA
  • NPI 1386252112

  Nursing home

  Care Compare affiliation
• Ahmc Seton Medical Center LLC

  dba Seton Medical Center,Seton Medical Center Coastside

  • General Acute Care Hospital
  • Daly City, CA
  • NPI 1841809415

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1205846771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39159 PASEO PADRE PKWY",
            "address_2": "SUITE 203",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381608",
            "telephone_number": "510-505-1091",
            "fax_number": "510-505-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SULLIVAN AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152200",
            "telephone_number": "650-400-0277",
            "fax_number": "650-340-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLEHURST",
        "first_name": "THOMAS",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G37365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G37365",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G373651",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "290007636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul D Hartman, M.D.
• Marilyn Hawley
• Azaria Hayes
• Ayanna Gerve Haysbert-Wright
• Omri Hazan
• Health Diagnostics of California LLC
• Health Diagnostics of Daly City, LLC (Health Diagnostics)
• Health Professionals, Inc.
• Healthright 360 (Aars, Odasa)
• Healthright 360 (AARS, Thomas R. Pollitica Middle School)

• Pulmonary Disease Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.