Active NPI
Hazelle Lama Baylosis, NP
- Gerontology Nurse Practitioner
- National City, CA
National Provider Identifier
1720803463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 95032369
- Practice address
- 1419 E 8TH St
National City, CA 91950-2602 - Phone
- (619) 718-1743
- NPI assigned
- Nov 18, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 95032369 | CA | Primary |
Addresses
Primary practice location
1419 E 8TH St
National City, CA 91950-2602
Mailing address
1700 Oconnor Ave
Chula Vista, CA 91913-4324
Phone (619) 508-5834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95032369 | CA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliable Care Medical Group AMC PC | Current | Accepting new patients |
Locations
1419 E 8th St
National City, CA 91950
Phone (619) 718-1743
Organizations & group practices 1
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.
-
- Nurse Practitioner
- National City, CA
- NPI 1538710033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1720803463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 OCONNOR AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919134324",
"telephone_number": "619-508-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1419 E 8TH ST",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502602",
"telephone_number": "619-718-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYLOSIS",
"first_name": "HAZELLE",
"middle_name": "LAMA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "95032369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.