Pedro Lynn Hayes, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23709 Issued in CA

Practice address

1800 Medical Center Dr. #99
San Bernardono, CA 92411

Phone

(909) 880-6400

NPI assigned

Nov 27, 2013

Last updated

Mar 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Urgent Care NetworkGroup PAC ID 7315284130, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/a8a7b4a9-8001-4d41-bf60-417974db31cb/
• Direct secure messaging: pedro.hayes.1@24997.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern California Urgent Care Network

  • Urgent Care Clinic/Center
  • Rosamond, CA
  • NPI 1861975500
  Medicare reassignment Care Compare group NPD
• Apex Emergency Medical Group, Inc.

  • Emergency Medicine Physician
  • Hemet, CA
  • NPI 1265711089
  Medicare reassignment NPD
• Temecula Medical Corporation

  • Urgent Care Clinic/Center
  • Temecula, CA
  • NPI 1922333723
  Medicare reassignment NPD
• Compre Hensive Primary Care Medical Associates, Inc

  dba West Point Medical Center

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1982786620
  NPD (past)
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD (past)
• West Point Medical Group, Inc

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1669741195
  NPD (past)

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1467883504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41715 WINCHESTER RD",
            "address_2": "STE 101",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904853",
            "telephone_number": "909-880-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER DR. #99",
            "city": "SAN BERNARDONO",
            "state": "CA",
            "postal_code": "92411",
            "telephone_number": "909-880-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "PEDRO",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-27",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.