Individual provider Active NPI

Hailey H Dizay, D.O.

  • Orthopaedic Surgery Physician
  • La Mirada, CA
National Provider Identifier
1447561071
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5101018867 Issued in MI
Practice address
16702 Valley View Ave
La Mirada, CA 90638-5824
Phone
(714) 367-5390
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101018867 MI Primary

Addresses

Primary practice location

16702 Valley View Ave
La Mirada, CA 90638-5824

Mailing address

16702 Valley View Ave
La Mirada, CA 90638-5824
Phone (714) 367-5390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150702002388 CA Practitioner - Orthopedic Surgery 0648582692 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpointe Medical Group, Inc.Group PAC ID 0941299135, shared by 2 NPIs, 35 clinicians

Practice addresses (Care Compare)

7052 Orangewood Ave
Suite 6
Garden Grove, CA 92841-1419
Phone (714) 903-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
13711CAMDAddiction (Substance Use Disorder) Counselor
5101018867MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Sports Clinic Orthopaedic Medical Associates, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2015 Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Sep 5, 2016 Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Oct 30, 2018 Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients

Locations

1717 E Lincoln Ave
Anaheim, CA 92805
Phone (714) 635-2642

1171 Railroad St
Ste 101
Corona, CA 92882
Phone (951) 272-1400

7052 Orangewood Ave
Ste 6
Garden Grove, CA 92841
Phone (714) 903-1000

5345 Irwindale Ave
Irwindale, CA 91706
Phone (626) 960-5361

16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341

23961 Calle de la Magdalena
Ste 229
Laguna Hills, CA 92653
Phone (949) 439-9322

5584 N Paramount Blvd
Ste 100
Long Beach, CA 90805
Phone (562) 920-8394

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1447561071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824",
            "telephone_number": "714-367-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824",
            "telephone_number": "714-367-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZAY",
        "first_name": "HAILEY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101018867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

Verify at the official NPI Registry.