Organization Active NPI

Freddie L. Hayes MD

  • Primary Care Clinic/Center
  • Fresno, CA
National Provider Identifier
1609242791
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
C21598 Issued in CA
Legal business name
FREDDIE L. HAYES MD
Practice address
3702 E Saginaw Way
Fresno, CA 93726-5123
Phone
(559) 226-4971
NPI assigned
Aug 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Freddie L Hayes, M.D.
Title
Owner
Phone
(559) 459-0127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X C21598 CA Primary

Addresses

Primary practice location

3702 E Saginaw Way
Fresno, CA 93726-5123

Mailing address

302 Fresno St
Suite 105
Fresno, CA 93706-3600
Phone (559) 459-0127

Other identifiers 1

IdentifierTypeStateIssuer
00C215980MedicaidCA

National Provider Directory

National Provider Directory

Locations

302 Fresno St
Ste 105
Fresno, CA 93706
Phone (559) 459-0127

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1609242791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 FRESNO ST",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937063600",
            "telephone_number": "559-459-0127",
            "fax_number": "559-459-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 E SAGINAW WAY",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265123",
            "telephone_number": "559-226-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDDIE L. HAYES MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "FREDDIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-459-0127",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C21598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C215980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.