Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 20A16344 | CA |
Y | 111NI0900X | Internist | 20A16344 | CA |
N | 207RS0012X | Sleep Medicine | 20A16344 | CA |
N | 208000000X | Pediatrician | 20A16344 | CA |
NPI | 1083681498 |
---|---|
Provider Name | Dr. Joseph Lawrence Hayes JR. |
First Address | Bakersfield, CA 93309-7081 |
Second Address | Bakersfield, CA 93309-7081 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2006 |
Last Update Date | 07/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000442128002 | BLUE SHIELD OF NENY (01) | |
01041152 | (05) | NY |
060201000031 | FIDELIS CARE NEW YORK (01) | |
10000861 | CDPHP (01) | |
11170 | MOHAWK VALLEY PHYS HP (01) | |
159224 | TRICARE (01) | |
159224 | WORKERS COMP (01) | |
202428710 | CIGNA (01) | |
26142 | MOHAWK VALLEY PHYS HP (01) | |
294AQ2 | EMPIRE BLUE CROSS (01) | |
C59422 | (02) | |
C59422 | AMERICAN PROGRESSIVE LIFE (01) | |
JH0294AQ20 | EMPIRE BLUE CROSS (01) | |
NO FAULT | 159224 (01) | |
RA6503 | FIDELIS MEDICARE (01) |