Individual provider Active NPI

Tobias Godfrey Hays, MD

  • Pediatrics Physician
  • San Jose, CA
National Provider Identifier
1790949972
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A97503 Issued in CA
Practice address
6475 Camden Ave
Suite 107
San Jose, CA 95120-2846
Phone
(408) 268-4900
Fax
(408) 268-2431
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A97503 CA Primary

Addresses

Primary practice location

6475 Camden Ave
Suite 107
San Jose, CA 95120-2846

Mailing address

6475 Camden Ave
Suite 107
San Jose, CA 95120-2846
Phone (408) 268-4900

Other practice location 1

6475 Camden Ave
suite 107
San Jose, CA 95120-2846
Phone (408) 268-4900 ext. 11

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
I20220627001701 CA Practitioner - Pediatric Medicine 0244619906 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97503CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince May 9, 2022 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients

Locations

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

6475 Camden Ave
Ste 107
San Jose, CA 95120
Phone (408) 268-4900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1790949972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 CAMDEN AVE",
            "address_2": "SUITE 107",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202846",
            "telephone_number": "408-268-4900",
            "fax_number": "408-268-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 CAMDEN AVE",
            "address_2": "SUITE 107",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951202846",
            "telephone_number": "408-268-4900",
            "fax_number": "408-268-2431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6475 Camden Ave",
            "address_2": "suite 107",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951202846",
            "country_code": "US",
            "telephone_number": "408-268-4900 x11",
            "fax_number": "408-268-2431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYS",
        "first_name": "TOBIAS",
        "middle_name": "GODFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A97503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.