Active NPI
Mellody Roxxanna Hayes, MD
- General Practice Physician
- San Francisco, CA
National Provider Identifier
1972856904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A122763
- Practice address
- 513 Parnassus Ave
RM. S436
San Francisco, CA 94143-2205 - Phone
- (415) 562-7910
- NPI assigned
- Oct 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A122763 | CA | Primary |
Addresses
Primary practice location
513 Parnassus Ave
RM. S436
San Francisco, CA 94143-2205
Mailing address
513 Parnassus Ave
RM. S436
San Francisco, CA 94143-2205
Phone (415) 562-7910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A122763 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122763 | CA | MD | Marriage & Family Therapist |
| A122763 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1972856904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "513 PARNASSUS AVE",
"address_2": "RM. S436",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432205",
"telephone_number": "415-562-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "513 PARNASSUS AVE",
"address_2": "RM. S436",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432205",
"telephone_number": "415-562-7910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "MELLODY",
"middle_name": "ROXXANNA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-15",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A122763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CALIFORNIA",
"identifier": "A122763",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.