Active NPI
Michael Andre Lenoir, MD
- Allergy Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- C33136
- Practice address
- 3448 Mowry Ave
Fremont, CA 94538-1422 - Phone
- (510) 373-3000
- Fax
- (844) 965-9795
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C331360 | CA | |
| Pediatrics Physician | 208000000X | C331360 | CA | |
| Allergy Physician | 207KA0200X | C33136 | CA | Primary |
Addresses
Primary practice location
3448 Mowry Ave
Fremont, CA 94538-1422
Mailing address
7677 Oakport St Ste 105
Oakland, CA 94621-1961
Phone (510) 993-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOC13360 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Texas Medical Branch at Galveston, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2182 E St
Concord, CA 94520-2012
Phone (925) 685-4228
5709 Market St
Suite 100
Oakland, CA 94608-2811
Phone (925) 685-4224
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C33136 | CA | MD | Allergy Physician |
| C331360 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jiva Health, Inc | Internal Medicine | Current | Accepting new patients |
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| Columbia Asthma & Allergy Clinic | Past | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Locations
2182 East St
Concord, CA 94520
Phone (925) 392-4731
1860 Mowry Ave
Ste 201
Fremont, CA 94538
Phone (510) 284-4100
7677 Oakport St
Ste 106
Oakland, CA 94621
2940 Summit St
Ste 1
Oakland, CA 94609
Phone (510) 834-4897
5709 Market St
Ste 100
Oakland, CA 94608
Phone (510) 654-4206
2940 Summit St
Ste 1B
Oakland, CA 94609
Phone (510) 834-4897
2940 Summit St
#1B
Oakland, CA 94609
Phone (510) 834-4897
7677 Oakport St
Ste 105
Oakland, CA 94621
Phone (510) 993-0200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mlenoir224381@hpmg.direct-ci.net
- mlenoir297322@direct.ochin.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Concord, CA
- NPI 1285223552
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Clinic/Center
- Fremont, CA
- NPI 1962687566
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1023065760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7677 OAKPORT ST STE 105",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946211961",
"telephone_number": "510-993-0200",
"fax_number": "510-922-9224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3448 MOWRY AVE",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381422",
"telephone_number": "510-373-3000",
"fax_number": "844-965-9795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENOIR",
"first_name": "MICHAEL",
"middle_name": "ANDRE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C331360",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C331360",
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "CA",
"license": "C33136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOC13360",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.