Individual provider Active NPI

Hayden E Swire, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1710737853
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64291 Issued in CA
Practice address
11199 Sorrento Valley Rd Ste 203
San Diego, CA 92121-1334
Phone
(619) 566-0640
NPI assigned
Mar 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA64291 CA Primary

Addresses

Primary practice location

11199 Sorrento Valley Rd Ste 203
San Diego, CA 92121-1334

Mailing address

4110 Udall St Apt B
San Diego, CA 92107-1856
Phone (661) 331-0341

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240427001961 CA Practitioner - Physician Assistant 1052751815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vikram Udani MD IncGroup PAC ID 3678825254, 3 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

11199 Sorrento Valley Rd
Suite 203
San Diego, CA 92121-1334
Phone (858) 598-5291

3590 Camino del Rio N
Suite 200
San Diego, CA 92108-1707
Phone (619) 810-1010

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 740-6000

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA64291CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Curatio Neurosurgery Inc PastSince Jun 28, 2020 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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1710737853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 UDALL ST APT B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071856",
            "telephone_number": "661-331-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11199 SORRENTO VALLEY RD STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211334",
            "telephone_number": "619-566-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIRE",
        "first_name": "HAYDEN",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.