Carlos Haycock, RN, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

2320 Woolsey St Ste 100
Berkeley, CA 94705-1974

Phone

(415) 297-1129

NPI assigned

Dec 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512864000000",
    "number": "1326553512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 THUNDERHEAD CT",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948032144",
            "telephone_number": "415-297-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 WOOLSEY ST STE 100",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051974",
            "telephone_number": "415-297-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYCOCK",
        "first_name": "CARLOS",
        "credential": "RN, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-10",
        "last_updated": "2017-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17602",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaneque Alisha Hawkins, M.ED, LPC
• Tobias Hawkins III, RDAT
• Virginia Hawkins, L.N.F.T.
• Julissa Haya, NP
• Saya Hayashi, OD
• Joni-Jay Hayes
• Milton Anthony Hayes, RADT-I
• Brett Kenneth Hayley
• Clay Hays
• Shengyu He, OD

• Acupuncturist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2017; 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.