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1083681498

NPI Code Detail

MEDICARE: DR. JOSEPH LAWRENCE HAYES JR. D.O.

MEDICARE: DR. JOSEPH LAWRENCE HAYES JR. D.O.

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	207RS0012X	Sleep Medicine (Internal Medicine) Physician	20A16344	CA
2	208000000X	Pediatrics Physician	20A16344	CA
3	207R00000X	Internal Medicine Physician	20A16344	CA
4	2080S0012X	Pediatric Sleep Medicine Physician	20A16344	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	RA6503	OTHER		FIDELIS MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11170	OTHER		MOHAWK VALLEY PHYS HP
2	C59422	OTHER		AMERICAN PROGRESSIVE LIFE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	159224	OTHER		TRICARE
5	26142	OTHER		MOHAWK VALLEY PHYS HP
6	000442128002	OTHER		BLUE SHIELD OF NENY
7	060201000031	OTHER		FIDELIS CARE NEW YORK
8	294AQ2	OTHER		EMPIRE BLUE CROSS
10	10000861	OTHER		CDPHP
11	NO FAULT	OTHER		159224
12	159224	OTHER		WORKERS COMP
13	202428710	OTHER		CIGNA
14	JH0294AQ20	OTHER		EMPIRE BLUE CROSS

General Provider Information

NPI Number	:	1083681498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH LAWRENCE HAYES JR. D.O.

Provider Business Mailing Address
First Line	:	4900 CALIFORNIA AVE STE 400B
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-7081
Country	:	US
Telephone Number	:	661-459-1000
Fax Number	:	661-459-1974

Provider Business Practice Location Address
First Line	:	4900 CALIFORNIA AVE STE 400B
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93309-7081
Country	:	US
Telephone Number	:	661-459-1900
Fax Number	:	661-459-1944

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

Provider Enumeration Date	:	03/03/2006
Last Update Date	:	11/07/2018

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Directions to “ DR. JOSEPH LAWRENCE HAYES JR. D.O.” Practice Location

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