Thomas B Hazlehurst, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G37365 Issued in CA

Legal business name

THOMAS B HAZLEHURST, M.D.

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

Mar 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas B Hazlehurst, M.D.NPI 1205846771

Title

Ceo

Phone

(650) 400-0277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas B Hazlehurst, M.D.

  • Pulmonary Disease Physician
  • Daly City, CA
  • NPI 1205846771
  Medicare reassignment Care Compare group NPD Authorized official
• Soraya Mangondato

  • Gerontology Nurse Practitioner
  • San Francisco, CA
  • NPI 1881755072
  Medicare reassignment Care Compare group NPD
• Donna Maria Puzon, FNP

  • Family Nurse Practitioner
  • Daly City, CA
  • NPI 1801949524
  Medicare reassignment Care Compare group NPD
• CHI-Hua Maria Fang, M.D.

  • Ophthalmology Physician
  • Walnut Creek, CA
  • NPI 1568523751
  NPD (past)
• Eisel Aquino Tam, NP

  • Nurse Practitioner
  • Daly City, CA
  • NPI 1215093794
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1205846789",
    "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": {
        "organization_name": "THOMAS B HAZLEHURST, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "HAZLEHURST",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-400-0277",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G37365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariella Thaning
• The Homeless 7 Corporation
• The Orthopaedic Group of SF Inc a Medical Group
• Theodor S. Parada, M.D., Inc
• Matthew Ross Theriot, NP
• James Thomas Sherman
• Catherine Thomas
• Rachel Thomas
• Robin K Thompson, PT
• Makayla Thornburg

• Internal Medicine Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.