Basic Information
| Provider Information | |||||||||
| NPI: | 1083681498 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAYES | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | LAWRENCE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4900 CALIFORNIA AVE STE 400B | ||||||||
| Address2: | |||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933097081 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6614591000 | ||||||||
| FaxNumber: | 6614591974 | ||||||||
| Practice Location | |||||||||
| Address1: | 4900 CALIFORNIA AVE STE 400B | ||||||||
| Address2: | |||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933097081 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6614591900 | ||||||||
| FaxNumber: | 6614591944 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2006 | ||||||||
| LastUpdateDate: | 11/07/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RS0012X | 20A16344 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Sleep Medicine | 208000000X | 20A16344 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | 207R00000X | 20A16344 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 2080S0012X | 20A16344 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | Sleep Medicine |
ID Information
| ID | Type | State | Issuer | Description | 11170 | 01 | MOHAWK VALLEY PHYS HP | OTHER | C59422 | 01 | AMERICAN PROGRESSIVE LIFE | OTHER | 01041152 | 05 | NY | MEDICAID | 159224 | 01 | TRICARE | OTHER | 26142 | 01 | MOHAWK VALLEY PHYS HP | OTHER | 000442128002 | 01 | BLUE SHIELD OF NENY | OTHER | 060201000031 | 01 | FIDELIS CARE NEW YORK | OTHER | 294AQ2 | 01 | EMPIRE BLUE CROSS | OTHER | RA6503 | 01 | FIDELIS MEDICARE | OTHER | 10000861 | 01 | CDPHP | OTHER | NO FAULT | 01 | 159224 | OTHER | 159224 | 01 | WORKERS COMP | OTHER | 202428710 | 01 | CIGNA | OTHER | JH0294AQ20 | 01 | EMPIRE BLUE CROSS | OTHER |