Organization Active NPI

Bruce a. Hayton, M.D., Inc.

  • Specialist
  • Wildomar, CA
National Provider Identifier
1225244247
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G55511 Issued in CA
Legal business name
BRUCE A. HAYTON, M.D., INC.
Practice address
36450 Inland Valley Dr
Suite 101
Wildomar, CA 92595-9583
Phone
(951) 698-7514
Fax
(951) 698-8740
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Dr. Bruce Anthony Hayton, M.D.
Title
President
Phone
(951) 698-7514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G55511 CA Primary

Addresses

Primary practice location

36450 Inland Valley Dr
Suite 101
Wildomar, CA 92595-9583

Mailing address

36450 Inland Valley Dr
Suite 101
Wildomar, CA 92595-9583
Phone (951) 698-7514

Other identifiers 1

IdentifierTypeStateIssuer
00G555110MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1225244247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36450 INLAND VALLEY DR",
            "address_2": "SUITE 101",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959583",
            "telephone_number": "951-698-7514",
            "fax_number": "951-698-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36450 INLAND VALLEY DR",
            "address_2": "SUITE 101",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959583",
            "telephone_number": "951-698-7514",
            "fax_number": "951-698-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE A. HAYTON, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "HAYTON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-698-7514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G55511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G555110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.