Healthcare Provider Details

I. General information

NPI: 1508355983
Provider Name (Legal Business Name): JAMES THOMAS LAYSON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2018
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 WARING RD
OCEANSIDE CA
92056-4405
US

IV. Provider business mailing address

3905 WARING RD
OCEANSIDE CA
92056-4405
US

V. Phone/Fax

Practice location:
  • Phone: 760-724-9000
  • Fax: 760-724-3686
Mailing address:
  • Phone: 760-724-9000
  • Fax: 760-724-3686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number23069
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number23069
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number323012-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: