Active NPI
Evelyn Junko Nakagawa, M.D.
- Internal Medicine Physician
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A68752
- Practice address
- 2800 Benedict Dr
San Leandro, CA 94577-6840 - Phone
- (415) 233-3604
- Fax
- (415) 295-5109
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A68752 | CA | Primary |
Addresses
Primary practice location
2800 Benedict Dr
San Leandro, CA 94577-6840
Mailing address
14 Tamal Vista Blvd
Corte Madera, CA 94925-1107
Phone (415) 233-3604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A687250 | 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
- Internal Medicine
- Education
- Medical College of Pennsylvania, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 Benedict Dr
San Leandro, CA 94577-6840
Phone (415) 945-1010
Hospital & facility affiliations
- Alta Bates Summit Medical Center - Alta Bates Camp
- Alta Bates Summit Medical Center
- Kindred Hospital - San Francisco Bay Area
- Smith Ranch Skilled Nursing & Rehabilitation Cente
- South Marin Health & Wellness Center
- North Bay Post Acute
- The Redwoods, a Community of Seniors
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A68752 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evelyn J Nakagawa MD Inc | Internal Medicine | Current | Accepting new patients |
| KND Development 59 LLC | Current | Accepting new patients | |
| Inpatient Consultants of California, Inc. | Internal Medicine | Current | Accepting new patients |
| Quantum Healthcare Medical Associates Inc. | Internal Medicine | Current | Accepting new patients |
| KND Development 59, LLC | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| The Redwoods, a Community of Seniors | Past | Accepting new patients |
Locations
1652 Mono Ave
Ashland, CA 94578
Phone (510) 357-5351
1510 4th St
Ste 1
Berkeley, CA 94710
Phone (510) 525-8980
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
1220 S Eliseo Dr
Greenbrae, CA 94904
Phone (415) 461-0748
1141 Catalina Dr
#194
Livermore, CA 94550
40 Camino Alto
Ofc
Mill Valley, CA 94941
Phone (415) 383-2741
550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290
400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111
300 Douglas St
Petaluma, CA 94952
Phone (415) 945-1010
2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300
2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000
1550 Silveira Pkwy
San Rafael, CA 94903
Phone (415) 446-3817
234 N San Pedro Rd
San Rafael, CA 94903
Phone (415) 479-3450
300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Organizations & group practices 7
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
- San Leandro, CA
- NPI 1003577305
-
- Hospitalist Physician
- Berkely, CA
- NPI 1831134253
Internal Medicine
-
- Hospitalist Physician
- Santa Ana, CA
- NPI 1740519081
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Internal Medicine
-
- Hospitalist Physician
- San Leandro, CA
- NPI 1235468562
-
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
-
- Skilled Nursing Facility
- Mill Valley, CA
- NPI 1205809381
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
-
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
-
- Long Term Care Hospital
- San Leandro, CA
- NPI 1306921929
Long-term care hospital
-
- Skilled Nursing Facility
- Mill Valley, CA
- NPI 1205809381
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1023077294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 TAMAL VISTA BLVD",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251107",
"telephone_number": "415-233-3604",
"fax_number": "415-295-5109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 BENEDICT DR",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945776840",
"telephone_number": "415-233-3604",
"fax_number": "415-295-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAGAWA",
"first_name": "EVELYN",
"middle_name": "JUNKO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A68752",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A687250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.