Individual provider Active NPI

Michael L Haydon, MD

  • Maternal & Fetal Medicine Physician
  • Irvine, CA
National Provider Identifier
1679584676
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A78308 Issued in CA
Practice address
16305 Sand Canyon Ave Ste 225
Irvine, CA 92618-3795
Phone
(714) 488-6690
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X A78308 CA Primary

Addresses

Primary practice location

16305 Sand Canyon Ave Ste 225
Irvine, CA 92618-3795

Mailing address

PO Box 54538
Los Angeles, CA 90054-0538
Phone (714) 456-6431

Other identifiers 1

IdentifierTypeStateIssuer
00A783080MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040828000165 CA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 3375518889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Irvine, California College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoag ClinicGroup PAC ID 3274872064, 447 clinicians

Practice addresses (Care Compare)

1031 Avenida Pico
Suite 204
San Clemente, CA 92673-6352
Phone (949) 829-5533

16105 Sand Canyon Ave
Irvine, CA 92618-3780
Phone (949) 764-4060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78308CAMDPharmacist
A78308CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Group, Inc. Maternal & Fetal Medicine CurrentSince Jul 1, 2007 Accepting new patients
Hoag Clinic CurrentSince Sep 1, 2024 Accepting new patients
University of California Irvine Past Accepting new patients
Obstetrix Medical Group of California, a Professional Corporation Maternal & Fetal Medicine Past Accepting new patients
Hoag Hospital Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

15785 Laguna Canyon Rd
Ste 360
Irvine, CA 92618
Phone (949) 788-0079

24411 Health Center Dr
Ste 300
Laguna Hills, CA 92653
Phone (949) 452-7199

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100

File 50981
Los Angeles, CA 90074

File 50978
Los Angeles, CA 90074

361 Hospital Rd
Ste 229
Newport Beach, CA 92663
Phone (949) 515-7861

1 Hoag Dr
Bldg 51
Newport Beach, CA 92663
Phone (949) 763-7450

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

12401 Washington Blvd
Fl 2
Whittier, CA 90602

12462 Putnam St
Ste 303
Whittier, CA 90602
Phone (562) 789-5440

1301 Concord Ter
Sunrise, FL 33323
Phone (954) 384-0175

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1679584676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54538",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900540538",
            "telephone_number": "714-456-6431",
            "fax_number": "714-456-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16305 SAND CANYON AVE STE 225",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183795",
            "telephone_number": "714-488-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDON",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A78308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A783080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.