Hayasa Medical Group Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HAYASA MEDICAL GROUP INC

Practice address

3540 Wilshire Blvd
Suite 714
Los Angeles, CA 90010-2307

Phone

(213) 382-2063

Fax

(213) 382-4935

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Samuel Lee Drake, M.D,

Title

Ceo

Phone

(213) 382-2063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273104000000",
    "number": "1871811448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WILSHIRE BLVD",
            "address_2": "SUITE 714",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102307",
            "telephone_number": "213-382-2063",
            "fax_number": "213-382-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WILSHIRE BLVD",
            "address_2": "SUITE 714",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102307",
            "telephone_number": "213-382-2063",
            "fax_number": "213-382-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYASA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-05-06",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-382-2063",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rikisha Hawthorne
• Aqeel Haxton
• Daniella Hay, CCC-SLP
• George Cameron Hay
• Lisa S Hayakawa, MA, OTR/L
• Justin H Hayase, M.D.
• Ami Hayashi
• Chad Hayashi
• Linda Sayo Hayashi, FNP
• Marc Hayashi, D.M.D.

• General Practice Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.