Organization Active NPI

Hayes Sports Chiropractic Inc

  • Sports Physician Chiropractor
  • Cerritos, CA
National Provider Identifier
1467631291
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC21355 Issued in CA
Legal business name
HAYES SPORTS CHIROPRACTIC INC
Practice address
11428 South St
Cerritos, CA 90703-6611
Phone
(562) 866-8384
Fax
(562) 920-1454
NPI assigned
Oct 29, 2007
Last updated
Jan 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Dr. Freddy Neal Hayes Jr., DCNPI 1528093598
Title
Chiropractor/ Owner
Phone
(562) 866-8384

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X DC21355 CA Primary

Addresses

Primary practice location

11428 South St
Cerritos, CA 90703-6611

Mailing address

5687 Woodruff Ave
Lakewood, CA 90713-1129
Phone (562) 866-8384

Other practice location 1

5687 Woodruff Ave
Lakewood, CA 90713-1129
Phone (562) 866-8384

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080502000576 CA Part B Supplier - Clinic/Group Practice 4587743463 Receives reassigned benefits from 2 practitioners
Practice locations: Cerritos, CA

National Provider Directory

National Provider Directory

Locations

11428 South St
Cerritos, CA 90703
Phone (562) 866-8384

5687 Woodruff Ave
Lakewood, CA 90713
Phone (562) 866-8384

Practitioners & affiliated clinicians

Practitioners 4

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": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1467631291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5687 WOODRUFF AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131129",
            "telephone_number": "562-866-8384",
            "fax_number": "562-920-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11428 SOUTH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036611",
            "telephone_number": "562-866-8384",
            "fax_number": "562-920-1454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5687 Woodruff Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907131129",
            "country_code": "US",
            "telephone_number": "562-866-8384",
            "fax_number": "562-920-1454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAYES SPORTS CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "FREDDY",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "CHIROPRACTOR/ OWNER",
        "authorized_official_telephone_number": "562-866-8384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "DC21355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.