Hawkes O-Side 1, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

374603778 Issued in CA

Legal business name

HAWKES O-SIDE 1, LLC

Practice address

2108 S El Camino Real
Oceanside, CA 92054-6203

Phone

(760) 385-8100

NPI assigned

May 25, 2017

Organization subpart

No

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

Authorized official

Name

Scott Kirby

Title

President

Phone

(619) 201-5888

Specialties & licenses 1

Addresses

Other names 1

• Heritage Hills Doing business as

Locations

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495670400000",
    "number": "1659809267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 AVENIDA DEL DIABLO",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 S EL CAMINO REAL",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546203",
            "telephone_number": "760-385-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKES O-SIDE 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2017-05-25",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-201-5888"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "374603778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Paul Haun, L.AC.
• Melissa Haupt
• Melissa Haupt, MFT
• Martin Brian Hauser, CADC II
• Lance Havens, BCBA
• Bryan F Hawkins, D.O
• Jennifer Novak Hawkins, PT
• Latoya Hayes, RD
• Michelle L Hayton, OCCUPATIONAL THERAPY
• Sally Hazard, LMFT

• Alzheimer Center (Dementia Center) in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.