Provider Demographics
NPI:1205622537
Name:HAYES, ANDRE L SR
Entity type:Individual
Prefix:MR
First Name:ANDRE
Middle Name:L
Last Name:HAYES
Suffix:SR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 COUNTRY WOOD LN
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-3336
Mailing Address - Country:US
Mailing Address - Phone:661-213-7282
Mailing Address - Fax:
Practice Address - Street 1:4500 COUNTRY WOOD LN
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-3336
Practice Address - Country:US
Practice Address - Phone:661-213-7282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC3652379347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle