Active NPI
Roger M Hayashi, MD
- Vascular Surgery Physician
- San Jose, CA
National Provider Identifier
1366463812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- G32902
- Practice address
- 2512 Samaritan CT Ste E
San Jose, CA 95124-4002 - Phone
- (408) 358-8272
- Fax
- (408) 356-7779
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | G32902 | CA | Primary |
Addresses
Primary practice location
2512 Samaritan CT Ste E
San Jose, CA 95124-4002
Mailing address
2512 Samaritan CT Ste E
San Jose, CA 95124-4002
Phone (408) 358-8272
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770000663 | Other | RAILROAD MEDICARE PIN | |
| 00G329020 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G32902 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Camino Health Medical Network, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- San Jose, CA
- NPI 1164880761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1366463812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2512 SAMARITAN CT STE E",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244002",
"telephone_number": "408-358-8272",
"fax_number": "408-356-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2512 SAMARITAN CT STE E",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244002",
"telephone_number": "408-358-8272",
"fax_number": "408-356-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYASHI",
"first_name": "ROGER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "G32902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "770000663",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G329020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.