NAICS 621111

Physician Practices in Hayward, CA

The 3 ZIP codes assigned to Hayward contained 33 Medical Practice establishments in 2023, of which 4 employed 10 or more people.

Establishments (2023)
33
3 ZIP codes
10 or more employees
4
Practical financing floor
Share of county
4%
Alameda County
City population
157,113
2025 estimate

Figures cover the ZIP codes the U.S. Postal Service assigns to Hayward (94541, 94544, 94545). ZIP areas are not municipal boundaries: they can extend beyond city limits and are shared between neighbouring places. This is a count of establishments in Hayward's ZIP codes, not a count of businesses inside its city limits.

Establishments by size

Employee-count distribution. For most buyers the businesses worth pursuing sit in the 5 to 49 range: large enough to have a manager and real systems, small enough to be owner-operated.

EmployeesEstablishmentsShareDistribution
1-41957.6%
5-939.1%
10-19412.1%

How this market compares

Hayward against every other city in California on the same measure. City figures cover the ZIP codes assigned to the place rather than its municipal boundary, so they are compared as a share of the businesses in those same ZIP codes rather than per resident. Cities with fewer than 500 businesses in total are left unranked.

Thinly served0.77% of local businesses, against 2.85% statewide

A far smaller slice of the local business base than the statewide share. Either a genuine gap in provision or a market served from somewhere nearby. Worth checking the neighbouring places below before drawing a conclusion.

Vs state share
-73%
Share of local businesses
Rank by count
#181
of 373 cities
Rank by share
#278
of 297 ranked
Since 2020
-21%
Change in establishments

This compares how much of Hayward’s business base is physician practices, against the California figure. Base: 4,289 establishments across all industries in the same ZIP codes, 2023. It does not measure revenue, profitability or whether a market is worth entering.

Business size mix

Hayward is more consolidated than California as a whole: fewer micro-operators and a larger share of businesses with real headcount. Fewer targets, but the ones that exist are more likely to be financeable.

Share of establishmentsHaywardCaliforniaDifference
Under 5 employeesOwner-operated, often no management layer57.6%65.6%-8.1%
5 to 49 employeesThe range most individual buyers target21.2%27.4%-6.2%
10 or more employeesPractical floor for acquisition financing12.1%12.9%-0.8%

Nearest comparable markets

The closest places to Hayward that also have Medical Practice establishments on record. Useful for spotting a gap next door, or realising the market you are looking at is already served from the town over.

MarketEstablishmentsVs state share
Union City15-61%
San Leandro38-50%
Newark10-71%
Redwood City61-35%
Menlo Park46-8%

The wider Alameda County market

Employment and payroll are reported at county level only, so the figures below describe the county Hayward sits in.

County establishments (2023)
789
Alameda County
County employees
10,083
Mid-March employment
County annual payroll
$1.1B
All establishments
Full Medical Practice data for Alameda County

What acquirers look at

California’s corporate practice of medicine doctrine restricts lay ownership, so deals are structured as MSO arrangements. Not a first acquisition for an unlicensed buyer.

Other industries in Hayward

Nearby cities

Sources

  1. U.S. Census Bureau, 2023 ZIP Code Business Patterns. Establishment counts and size distribution by ZIP code and NAICS, aggregated over the ZIP codes assigned to each city. Retrieved 2026-09-08.
  2. U.S. Census Bureau, 2023 County Business Patterns. Establishment counts, employment and annual payroll by NAICS. Retrieved 2026-09-08.
  3. U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages (2026Q1). Quarterly establishment counts and employment for employers covered by unemployment insurance. Retrieved 2026-09-08.