NPIMap

Individual provider Active NPI

Jayson A Hymes, MD

  • Specialist
  • Van Nuys, CA
National Provider Identifier
1225032048
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G056728 Issued in CA
Practice address
6815 Noble Ave
Suite 105
Van Nuys, CA 91405-3796
Phone
(818) 781-6684
Fax
(818) 781-4457
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G056728 CA Primary

Addresses

Primary practice location

6815 Noble Ave
Suite 105
Van Nuys, CA 91405-3796

Mailing address

6815 Noble Ave
Suite 105
Van Nuys, CA 91405-3796
Phone (818) 781-6684

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000890 CA Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Addiction Medicine 0143118794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G056728CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Conservative Care Specialists Medical Group Inc CurrentSince Dec 1, 1996 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients
Conservative Care Specialist Medical Group Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Dignity Community Care Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Conservative Anesthesia Group, P.C. PastSince Apr 8, 2016 Accepting new patients
Conservative Care Specialists Medical Group Inc. Past Accepting new patients
Conservative Care Specialists Medical Group Inc. Past Accepting new patients
Conservative Care Specialist Medical Group Specialist Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

5901 W Olympic Blvd
Ste 204
Los Angeles, CA 90036
Phone (323) 938-2300

6815 Noble Ave
Ste 105
Van Nuys, CA 91405
Phone (818) 781-6684

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21985/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1225032048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 NOBLE AVE",
            "address_2": "SUITE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053796",
            "telephone_number": "818-781-6684",
            "fax_number": "818-781-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 NOBLE AVE",
            "address_2": "SUITE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053796",
            "telephone_number": "818-781-6684",
            "fax_number": "818-781-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYMES",
        "first_name": "JAYSON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G056728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.