Individual provider Active NPI

Thomas B Hargrave III, MD

  • Gastroenterology Physician
  • Oakland, CA
National Provider Identifier
1023076692
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G44506 Issued in CA
Practice address
300 Frank Ogawa Plaza
Suite 450
Oakland, CA 94612
Phone
(510) 444-3297
Fax
(510) 444-6421
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G44506 CA Primary

Addresses

Primary practice location

300 Frank Ogawa Plaza
Suite 450
Oakland, CA 94612

Mailing address

300 Frank Ogawa Plaza
Suite 450
Oakland, CA 94612
Phone (510) 444-3297

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051130000930 CA Practitioner - Gastroenterology 2365338381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44506CAMDGeneral Practice Dentistry
G44506CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County Current Accepting new patients
Contra Costa County CurrentSince Jan 8, 2025 Accepting new patients
Contra Costa County CurrentSince Jan 8, 2025 Accepting new patients

Locations

2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1023076692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRANK OGAWA PLAZA",
            "address_2": "SUITE 450",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94612",
            "telephone_number": "510-444-3297",
            "fax_number": "510-444-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRANK OGAWA PLAZA",
            "address_2": "SUITE 450",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94612",
            "telephone_number": "510-444-3297",
            "fax_number": "510-444-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGRAVE",
        "first_name": "THOMAS",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G44506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.