Kamyar Hedayat, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A76934 Issued in CA

Practice address

512 Via de la Valle
Ste 101
Solana Beach, CA 92075-2751

Phone

(858) 455-9726

Fax

(858) 455-9159

NPI assigned

Feb 22, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1255306395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 VIA DE LA VALLE",
            "address_2": "STE 101",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752751",
            "telephone_number": "858-455-9726",
            "fax_number": "858-455-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 VIA DE LA VALLE",
            "address_2": "STE 101",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752751",
            "telephone_number": "858-455-9726",
            "fax_number": "858-455-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDAYAT",
        "first_name": "KAMYAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A76934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Orville Harper, MD
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• Mark Chester Hartmann, PA-C
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• Heartpath Collective Marriage and Family Therapy Professional Corporation (HeartPath Collective)
• Hello Pediatrics PC
• Eugene Victor Helsel, M.D.
• Katherine Nicole Hemphill, PT, DPT
• Christy Hendrickson, M.D.
• Mark Heyman, PH.D.

• General Practice Physician in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.