DR. BRUCE A. HAYTON (NPI# 1710030192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710030192 |
| Entity Type | Individual |
| Full Name | DR. BRUCE A. HAYTON |
| Credential | M.D. |
| Practice Address |
36450 Inland Valley Dr Suite 101 Wildomar CA 92595 |
| Mailing Address |
36450 Inland Valley Dr Suite 101 Wildomar CA 92595-9583 |
| Practice Telephone | 9516987514 |
| Practice Fax Number | 9516988740 |
| Mailing Telephone | 9516987514 |
| Mailing Fax Number | 9516988740 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | G55511 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
G55511 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G555110 | 05 |
| Street Address |
36450 INLAND VALLEY DR SUITE 101 |
| City | WILDOMAR |
| State | CA |
| Zip Code | 92595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518993484 | Kishore K Vasant Medical Group Inc. | Clinic/Center | 36450 Inland Valley Dr, Suite # 116, Wildomar, CA 92595-9583 | 2006-06-23 |
| 1568901833 | Pamela Warmington | Pharmacist | 36450 Inland Valley Dr, Suite 209, Wildomar, CA 92595-9583 | 2017-02-19 |
| 1407395866 | Jeffrey Labandelo Fajardo | Pharmacist | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2017-02-18 |
| 1114466653 | Bassam Azzam | Pharmacist | 36450 Inland Valley Dr, Wildomar, CA 92595 | 2017-02-16 |
| 1386182285 | Dante Gibson | Pharmacist | 36450 Inland Valley Dr, Suite #209, Wildomar, CA 92595-9583 | 2017-02-10 |
| 1912445818 | David Chen | Pharmacist | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2017-02-10 |
| 1245614502 | Yalda Lynn Howard | Pharmacist | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2015-07-16 |
| 1144614447 | Kevin Suresh Chandrasena | Internal Medicine | 36450 Inland Valley Dr, Wildomar, CA 92595 | 2015-03-25 |
| 1023406675 | Sarah Devine-cooter | Registered Nurse | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2015-01-06 |
| 1841617875 | Frank Joseph Mercardante Jr. | Pediatrics | 36450 Inland Valley Dr, Wildomar, CA 92595-9583 | 2014-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
| 1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
| 1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
| 1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.