Qwan Hayes

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

55092 Issued in CA

Practice address

5333 Hollister Ave Ste 110
Goleta, CA 93111-2379

Phone

(805) 683-0055

Fax

(805) 683-0149

NPI assigned

Dec 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chanukya Dasari MD a Professional CorporationGroup PAC ID 8224526173, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Chanukya Dasari MD a Professional Corporation

  • Surgery Physician
  • La Puente, CA
  • NPI 1942184817
  Medicare reassignment Care Compare group NPD
• Professional Wound Specialists PC

  • Surgery Physician
  • Pomona, CA
  • NPI 1437988326
  Medicare reassignment
• Ming-Wei Wu, Inc

  • Surgery Physician
  • Las Vegas, NV
  • NPI 1699975144

  CA

  Medicare reassignment

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1215443023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 VIA MITAD",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934361616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 HOLLISTER AVE STE 110",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931112379",
            "telephone_number": "805-683-0055",
            "fax_number": "805-683-0149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16928 11th Street",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "CA",
            "postal_code": "93234",
            "country_code": "US",
            "telephone_number": "800-492-4227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "QWAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Won Jun Han
• Meghan Lindhe Hansen
• Gabriela Hanson-Lopez, LCSW
• Dominique Zarith Harrison
• Maury H. Hayashida, DPT
• Arnold Hernandez
• Jacqueline Hernandez
• Sarah Hernandez
• Simon Hernandez
• Kathleen Nicole Herrigel

• Physician Assistant in Goleta, CA
• Providers in Goleta, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.

Verify at the official NPI Registry.