Hayward L Eubanks M D a Medical Corporation

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

G54388 Issued in CA

Legal business name

HAYWARD L EUBANKS M D A MEDICAL CORPORATION

Practice address

4477 W 118TH Street
Suite 205
Hawthorne, CA 90250-2255

Phone

(310) 679-0676

Fax

(310) 679-0087

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Brittany Lynita Eubanks, LCSW

Title

Practice Manager, Access Manager

Phone

(310) 908-1842

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hayward Lynn Eubanks, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Hawthorne, CA
  • NPI 1023039815
  Medicare reassignment NPD

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1972650513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 SECREST DRIVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432029",
            "telephone_number": "310-679-0676",
            "fax_number": "323-296-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W 118TH STREET",
            "address_2": "SUITE 205",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502255",
            "telephone_number": "310-679-0676",
            "fax_number": "310-679-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWARD L EUBANKS M D A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "EUBANKS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "LYNITA",
        "authorized_official_title_or_position": "PRACTICE MANAGER, ACCESS MANAGER",
        "authorized_official_telephone_number": "310-908-1842",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "G54388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hawthorne Academy
• Hawthorne Elementary School District
• Hawthorne Healthcare & Wellness Centre, LP
• Hawthorne Morningside Medical Clinic
• Hawthorne Terrace Care Home
• Healing Hands Home Care LLC
• Health Care Partners, Inc.
• Hedieh Hashemi DDS PC
• Tanya Barton Henry, PHARMD
• Chelsea Alexandra Heritage, COTA

• Otolaryngology/Facial Plastic Surgery Physician in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.