Organization Active NPI

Hayashi Medical Corporation

  • Ophthalmology Physician
  • Pismo Beach, CA
National Provider Identifier
1336100866
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G69459 Issued in CA
Legal business name
HAYASHI MEDICAL CORPORATION
Practice address
921 Oak Park Blvd
Suite 201B
Pismo Beach, CA 93449-3264
Phone
(805) 489-8286
Fax
(805) 489-7376
NPI assigned
Apr 2, 2006
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Dr. Janet Chen, M.D.NPI 1366404469
Title
Secretary/Treasurer
Phone
(805) 489-8286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X G69459 CA Primary

Addresses

Primary practice location

921 Oak Park Blvd
Suite 201B
Pismo Beach, CA 93449-3264

Mailing address

921 Oak Park Blvd
Suite 201B
Pismo Beach, CA 93449-3264
Phone (805) 489-8286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040504001724 CA Part B Supplier - Clinic/Group Practice 5991793259 Receives reassigned benefits from 2 practitioners
Practice locations: Pismo Beach, CA

National Provider Directory

National Provider Directory

Locations

921 Oak Park Blvd
#201A
Pismo Beach, CA 93449
Phone (805) 489-8286

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1336100866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 OAK PARK BLVD",
            "address_2": "SUITE 201B",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493264",
            "telephone_number": "805-489-8286",
            "fax_number": "805-489-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 OAK PARK BLVD",
            "address_2": "SUITE 201B",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934493264",
            "telephone_number": "805-489-8286",
            "fax_number": "805-489-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYASHI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-02",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "805-489-8286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G69459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pismo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.