Active NPI
Jacob Awar Ayuen
- Physician Assistant
- Hanford, CA
National Provider Identifier
1619370822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51935
- Practice address
- 1025 N Douty St
Hanford, CA 93230-3722 - Phone
- (559) 537-1670
- Fax
- (559) 537-1676
- NPI assigned
- Oct 1, 2014
- Last updated
- Oct 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51935 | CA | Primary |
Addresses
Primary practice location
1025 N Douty St
Hanford, CA 93230-3722
Mailing address
1025 N Douty St
Hanford, CA 93230-3722
Phone (559) 537-1670
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Central Valley General Hospital
Practice addresses (Care Compare)
1025 N Douty St
Hanford, CA 93230-3722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51935 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reedley Community Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- San Jose, CA
- NPI 1174094064
-
dba Adventist Health Community Care - Hanford
- Rural Health Clinic/Center
- Hanford, CA
- NPI 1417930892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1619370822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 N DOUTY ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932303722",
"telephone_number": "559-537-1670",
"fax_number": "559-537-1676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 N DOUTY ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932303722",
"telephone_number": "559-537-1670",
"fax_number": "559-537-1676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYUEN",
"first_name": "JACOB",
"middle_name": "AWAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-01",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.