Organization Active NPI

Clarence M. Hyshaw M.D., Inc.

  • Neurological Surgery Physician
  • Inglewood, CA
National Provider Identifier
1801144944
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A26220 Issued in CA
Legal business name
CLARENCE M. HYSHAW M.D., INC.
Practice address
928 Centinela Ave
Inglewood, CA 90302-1502
Phone
(310) 673-2710
NPI assigned
Aug 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Dr. Clarence Hyshaw, M.D.
Title
Physician
Phone
(310) 673-2710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X A26220 CA Primary

Addresses

Primary practice location

928 Centinela Ave
Inglewood, CA 90302-1502

Mailing address

928 Centinela Ave
Inglewood, CA 90302-1502

National Provider Directory

National Provider Directory

Locations

928 Centinela Ave
Inglewood, CA 90302
Phone (310) 673-2710

NPI Registry JSON

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1801144944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 CENTINELA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 CENTINELA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903021502",
            "telephone_number": "310-673-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENCE M. HYSHAW M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "HYSHAW",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "310-673-2710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A26220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.