MEDICARE: JESSICA HAYES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013878552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA HAYES

Provider Business Mailing Address
First Line	:	963 CORONADO DR
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-5634
Country	:	US
Telephone Number	:	657-248-0498
Fax Number	:

Provider Business Practice Location Address
First Line	:	219 W PALAIS RD APT 23
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92805-6145
Country	:	US
Telephone Number	:	657-248-0498
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	01/02/2026

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Directions to “ JESSICA HAYES ” Practice Location

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