Active NPI
Arlene P Hay, MD
- Pediatrics Physician
- Sacramento, CA
National Provider Identifier
1609839745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A64152
- Practice address
- 1625 Stockton Blvd
Suite 106
Sacramento, CA 95816-7097 - Phone
- (916) 262-9002
- Fax
- (916) 262-9012
- NPI assigned
- Apr 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 22572 | AL | |
| Pediatrics Physician | 208000000X | MD60264241 | WA | |
| Pediatrics Physician | 208000000X | A64152 | CA | Primary |
Addresses
Primary practice location
1625 Stockton Blvd
Suite 106
Sacramento, CA 95816-7097
Mailing address
10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009970280 | Medicaid | AL | |
| 51504280 | Other | AL | BLUE CROSS/BLUE SHIELDS |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64152 | CA | MD | Dentist |
| 22572 | AL | MD | Pediatrics Physician |
| A64152 | CA | MD | Pediatrics Physician |
| MD60264241 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Pediatrics | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Pediatrics | Current | Accepting new patients |
| Childrens Medical Center of Decatur | Pediatrics | Past | Accepting new patients |
Locations
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
1625 Stockton Blvd
Ste 106
Sacramento, CA 95816
Phone (916) 262-9002
Interoperability endpoints
- ahay212880@hisp.ehr.sutterhealth.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Pediatrics
-
- Pediatrics Physician
- Decatur, AL
- NPI 1396790457
-
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1609839745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 STOCKTON BLVD",
"address_2": "SUITE 106",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958167097",
"telephone_number": "916-262-9002",
"fax_number": "916-262-9012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAY",
"first_name": "ARLENE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "22572",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60264241",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A64152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009970280",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELDS",
"identifier": "51504280",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.