Bryan Hayter

Primary specialty

SpecialistTaxonomy code 174400000X

License

21015 Issued in CA

Practice address

30816 Coast Hwy
Laguna Beach, CA 92651-8136

Phone

(949) 499-4190

Fax

(949) 499-4698

NPI assigned

Jan 5, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1801557442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30816 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926518136",
            "telephone_number": "949-499-4190",
            "fax_number": "949-499-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30816 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926518136",
            "telephone_number": "949-499-4190",
            "fax_number": "949-499-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYTER",
        "first_name": "BRYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "21015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "alisobeachmanager@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "30816 Coast Hwy",
            "city": "Laguna Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926518136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia Michelle Harrison-Sicre, O.D.
• Kern Hansen Haug, P.T.
• Haven Health Group LLC
• Barbara Hawthorne, DDS
• Melinda Haynes, LMFT
• Health in Balance Integrative Medicine Inc.
• James Hedgecock, DC
• Richard Alan Helmer, M.D.
• Ann Marie Hembrough, PA-C
• Henry W Pribram

• Specialist in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.