Active NPI
Freddie L. Hayes MD
- Primary Care Clinic/Center
- Fresno, CA
National Provider Identifier
1609242791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- C21598
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C215980 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.