Individual provider Active NPI

Ricahrd Allan Hyatt, M.D.

  • Family Medicine Physician
  • Palmdale, CA
National Provider Identifier
1578533972
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A20596 Issued in CA
Practice address
2279 E Palmdale #a
Palmdale, CA 93550-4909
Phone
(661) 273-8813
Fax
(661) 273-2105
NPI assigned
Jan 26, 2006
Last updated
Sep 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A20596 CA Primary

Addresses

Primary practice location

2279 E Palmdale #a
Palmdale, CA 93550-4909

Mailing address

200 Oceangate #100
Long Beach, CA 90802-4317
Phone (562) 499-6191

Other names 1

  • Dr. Richard Allan Hyatt Professional name

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

LicenseStateTypeSpecialty
A20596CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Isles Medical-Associates Inc Past Accepting new patients
Upper Connecticut Valley Hospital Association Past Accepting new patients
Molina Healthcare of California Family Medicine Past Accepting new patients
Molina Medical Centers Family Medicine Past Accepting new patients
Molina Healthcare of California Family Medicine Past Accepting new patients
Molina Healthcare of California Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1578533972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE #100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "562-499-6191",
            "fax_number": "702-395-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 E PALMDALE #A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504909",
            "telephone_number": "661-273-8813",
            "fax_number": "661-273-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "RICAHRD",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A20596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "HYATT",
            "middle_name": "ALLAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.