SearchCalifornia175T00000X

Mychael Haysbert

NPI 1770325359 · on the registry since 2024 · sole proprietor

Practice

Address
210 N 4th St
San Jose, CA 95112
Phone
(669) 245-3429
Organisation at this address
Catholic Charites
Telecare Corporation
Catholic Charities Of Santa Clara County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
171M00000X
225400000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California