Healthcare Provider Details

I. General information

NPI: 1104747724
Provider Name (Legal Business Name): CALEB HAYEK RN, BSN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 W 26TH ST
MERCED CA
95340-2804
US

IV. Provider business mailing address

2010 ALAN LN
MERCED CA
95340-2629
US

V. Phone/Fax

Practice location:
  • Phone: 209-723-2911
  • Fax:
Mailing address:
  • Phone: 209-316-8780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number95361493
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: