Provider Demographics
NPI:1336145523
Name:HAYES, WILLISTON STERCHI (MD)
Entity type:Individual
Prefix:DR
First Name:WILLISTON
Middle Name:STERCHI
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14555 CAMAREN PK. DR.
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95973
Mailing Address - Country:US
Mailing Address - Phone:530-828-6728
Mailing Address - Fax:530-891-4567
Practice Address - Street 1:14555 CAMAREN PK. DR.
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973
Practice Address - Country:US
Practice Address - Phone:530-828-6728
Practice Address - Fax:530-533-4102
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-22
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG41003207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G410030Medicaid
CA00G410030Medicaid