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HAILEY NELSON
NPI 1912464264
Physician Assistant - Medical in Torrance, CA

Active since February 22, 2019PECOS Enrolled
1907 BORDER AVE, TORRANCE, CA 90501(844) 443-6246 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 7, 2025, Nov 17, 2023, Feb 22, 2019 (3 updates tracked since 2019).

About Hailey Nelson NPPES

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

HAILEY NELSON (NPI 1912464264) is an individual medical provider in Torrance, California, licensed in California (PA63345) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (2023).

NPPES Registry Identity

NPI1912464264
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHAILEY NELSON
Location Address1907 BORDER AVETorrance, CA 90501-3606
Mailing Address1907 Border AveTorrance, CA 90501-3606
Phone(844) 443-6246
Sole ProprietorNo
Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2023
Enumeration DateFebruary 22, 2019
Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1912464264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA63345
1907 BORDER AVE, Torrance, CA 90501
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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)

Hailey Nelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567813330
PECOS Enrollment IDI20250902002565
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARDEEP K SHORI DO
Family Medicine
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
SHIRIN KOHANIM NP
Nurse Practitioner (Family)
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
DENISE ESCARIESES PA-C
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
KEITH BENTLEY
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
SIMY SIEMKHORN MORANO
Nurse Practitioner (Primary Care)
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
TASHARIAH ROBINSON PA-C
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
SYDNEY JACKSON PA-C
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
HUYEN THI MAI NGUYEN
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246

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 Hailey Nelson's NPI number?

The NPI number for Hailey Nelson is 1912464264. It was assigned to this individual provider in the NPPES registry on February 22, 2019.

Where is Hailey Nelson located?

Hailey Nelson practices at 1907 Border Ave, Torrance, CA 90501. The listed phone number is (844) 443-6246.

What is Hailey Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Hailey Nelson enrolled in Medicare?

Yes. Hailey Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hailey Nelson was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.