Healthcare Provider Details

I. General information

NPI: 1790949972
Provider Name (Legal Business Name): TOBIAS GODFREY HAYS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2008
Last Update Date: 06/28/2022
Certification Date: 06/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6475 CAMDEN AVE SUITE 107
SAN JOSE CA
95120-2846
US

IV. Provider business mailing address

6475 CAMDEN AVE SUITE 107
SAN JOSE CA
95120-2846
US

V. Phone/Fax

Practice location:
  • Phone: 408-268-4900
  • Fax: 408-268-2431
Mailing address:
  • Phone: 408-268-4900
  • Fax: 408-268-2431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA97503
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: