Individual provider Active NPI

Carl Eric Hayes, MD

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1942287180
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
00G66485 Issued in CA
Practice address
4004 S Vermont Ave
Ste #6
Los Angeles, CA 90037
Phone
(323) 232-6686
Fax
(323) 232-6626
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 00G66485 CA Primary

Addresses

Primary practice location

4004 S Vermont Ave
Ste #6
Los Angeles, CA 90037

Mailing address

160 E Virginia St
Suite 100
San Jose, CA 95112-5857
Phone (408) 918-2600

Other identifiers 1

IdentifierTypeStateIssuer
00G664851MedicaidCA

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
I20200421001604 CA Practitioner - Obstetrics/Gynecology 4183843246 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allmed of Los Angeles IncGroup PAC ID 2860918752, 12 clinicians

Practice addresses (Care Compare)

11001 Main St
FL 3
El Monte, CA 91731-2620
Phone (626) 443-4300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66485CAMDClinical Social Worker
00G66485CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Monte Clinica Medica General Medical Center, Inc CurrentSince Mar 1, 2020 Accepting new patients
Allmed of Los Angeles, Inc CurrentSince Mar 3, 2025 Accepting new patients
Bartz-Altadonna Community Health Center CurrentSince Jun 1, 2020 Accepting new patients
Bartz-Altadonna Community Health Center CurrentSince Jun 1, 2020 Accepting new patients
Allmed of Los Angeles, Inc CurrentSince Mar 3, 2025 Accepting new patients
Carl E. Hayes, M.D. Past Accepting new patients

Locations

11001 Main St
Ste 301E
El Monte, CA 91731
Phone (626) 443-4300

11001 Main St
Ste 301
El Monte, CA 91731
Phone (626) 443-4300

5725 Soto St
Huntington Pk, CA 90255
Phone (213) 583-8383

43322 Gingham Ave
Ste 105
Lancaster, CA 93535
Phone (661) 874-4029

43322 Gingham Ave
Lancaster, CA 93535
Phone (661) 579-9317

2208 W 7th St
Los Angeles, CA 90057
Phone (213) 384-3434

672 S Carondelet St
Los Angeles, CA 90057
Phone (213) 384-3434

7400 Pacific Blvd
Walnut Park, CA 90255
Phone (323) 538-9050

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hayes.carl.015.0050931@cmg.meditab.direct-ci.com

Organizations & group practices 7

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1942287180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E VIRGINIA ST",
            "address_2": "SUITE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125857",
            "telephone_number": "408-918-2600",
            "fax_number": "408-579-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 S VERMONT AVE",
            "address_2": "STE #6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90037",
            "telephone_number": "323-232-6686",
            "fax_number": "323-232-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "CARL",
        "middle_name": "ERIC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "00G66485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G664851",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.