Individual provider Active NPI

Maxine Deborah Hyde, M.D.

  • Neurological Surgery Physician
  • West Hills, CA
National Provider Identifier
1891718680
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G56729 Issued in CA
Practice address
7230 Medical Center Dr
Suite 300
West Hills, CA 91307-1907
Phone
(818) 716-7003
Fax
(818) 716-7230
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G56729 CA Primary

Addresses

Primary practice location

7230 Medical Center Dr
Suite 300
West Hills, CA 91307-1907

Mailing address

7230 Medical Center Dr
Suite 300
West Hills, CA 91367-4026
Phone (818) 716-7003

Other identifiers 1

IdentifierTypeStateIssuer
00G567290MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20190619003642 MS Order and Referring Only - General PracticePractitioner - General Practice 0042344376

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56729CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul D. Cotten Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1891718680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE 300",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913674026",
            "telephone_number": "818-716-7003",
            "fax_number": "818-716-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 MEDICAL CENTER DR",
            "address_2": "SUITE 300",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071907",
            "telephone_number": "818-716-7003",
            "fax_number": "818-716-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "MAXINE",
        "middle_name": "DEBORAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G56729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G567290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.