Individual provider Active NPI

Joseph Macedo Jr.

  • Obstetrics & Gynecology Physician
  • Martinez, CA
National Provider Identifier
1043354814
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G84724 Issued in CA
Practice address
2500 Alhambra Ave
Martinez, CA 94553-3156
Phone
(925) 370-5110
Fax
(925) 370-5142
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G84724 CA Primary

Addresses

Primary practice location

2500 Alhambra Ave
Martinez, CA 94553-3156

Mailing address

50 Douglas Dr
Suite 391
Martinez, CA 94553-4098
Phone (925) 957-5429

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
I20180503000774 CA Practitioner - Obstetrics/Gynecology 7012193477 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 1991
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

450 E Romie LN
Salinas, CA 93901-4029
Phone 80024338397746

Hospital & facility affiliations

  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of California Medical Group Inc Obstetrics & Gynecology CurrentSince Apr 22, 2024 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince May 22, 2019 Accepting new patients
Obstetrix Medical Group of California, a Professional Corporation Obstetrics & Gynecology CurrentSince May 26, 2019 Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

10 Centimeters Dr
Mauldin, SC 29662
Phone (800) 867-2289

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043354814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DOUGLAS DR",
            "address_2": "SUITE 391",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534098",
            "telephone_number": "925-957-5429",
            "fax_number": "925-957-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALHAMBRA AVE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533156",
            "telephone_number": "925-370-5110",
            "fax_number": "925-370-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEDO",
        "first_name": "JOSEPH",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G84724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.