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HAYDEN EDWARD PORTER
NPI 1790364461
Student in an Organized Health Care Education/Training Program in Oceanside, CA

Active since April 07, 2021PECOS Enrolled
1822 S CLEMENTINE ST, OCEANSIDE, CA 92054(760) 224-9277 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hayden Edward Porter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAYDEN EDWARD PORTER (NPI 1790364461) is an individual student in an organized health care education/training program in Oceanside, California and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790364461
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHAYDEN EDWARD PORTER
Location Address1822 S CLEMENTINE STOceanside, CA 92054-6013
Mailing Address1822 S Clementine StOceanside, CA 92054-6013 · (760) 224-9277
Phone(760) 224-9277
Sole ProprietorYes
Enumeration DateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1790364461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1822 S CLEMENTINE ST, Oceanside, CA 92054
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hayden Edward Porter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hayden Porter's NPI number?

The NPI number for Hayden Porter is 1790364461. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Hayden Porter located?

Hayden Porter practices at 1822 S Clementine St, Oceanside, CA 92054. The listed phone number is (760) 224-9277.

What is Hayden Porter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hayden Porter enrolled in Medicare?

Yes. Hayden Porter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hayden Porter was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.