Active NPI
Nkemdi Edwin Agwaramgbo, MD
- Hospitalist Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A195805
- Practice address
- 350 Hawthorne Ave RM 2346
Oakland, CA 94609-3108 - Phone
- (510) 869-6883
- NPI assigned
- Mar 28, 2021
- 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 | A195805 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | A195805 | CA | Primary |
Addresses
Primary practice location
350 Hawthorne Ave RM 2346
Oakland, CA 94609-3108
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 869-6883
Other practice location 1
231 Albert Sabin Way
Cincinnati, OH 45267-2827
Phone (513) 558-5235
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240731001968 | CA | Practitioner - Hospitalist | 9436551306 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sutter Bay Medical Foundation
Practice addresses (Care Compare)
2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-4444
3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222
350 Hawthorne Ave
Oakland, CA 94609-3108
Phone (510) 655-4000
Hospital & facility affiliations
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center - Alta Bates Camp
- UCSF Medical Center
- Sutter Delta Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A195805 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Sutter East Bay Medical Foundation | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
350 Hawthorne Ave
Rm 2346
Oakland, CA 94609
Phone (510) 655-4000
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
795 El Camino Real
#1112
Palo Alto, CA 94301
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- nagwaramgbo688813@hisp.ehr.sutterhealth.org
Organizations & group practices 19
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.
-
- Ambulatory Surgical Clinic/Center
- San Jose, CA
- NPI 1033817168
-
- Ambulatory Surgical Clinic/Center
- Palo Alto, CA
- NPI 1104067115
-
- Durable Medical Equipment & Medical Supplies
- Sunnyvale, CA
- NPI 1134904899
-
- Durable Medical Equipment & Medical Supplies
- Mountain View, CA
- NPI 1144911140
-
- Durable Medical Equipment & Medical Supplies
- Santa Cruz, CA
- NPI 1154050029
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1295459246
-
- Durable Medical Equipment & Medical Supplies
- Sunnyvale, CA
- NPI 1356070221
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1497996524
-
- Durable Medical Equipment & Medical Supplies
- Los Gatos, CA
- NPI 1518696459
-
- Durable Medical Equipment & Medical Supplies
- Fremont, CA
- NPI 1558090407
-
- Ambulatory Surgical Clinic/Center
- Los Altos, CA
- NPI 1568851327
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1053998682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "510-869-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HAWTHORNE AVE RM 2346",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093108",
"telephone_number": "510-869-6883"
}
],
"practiceLocations": [
{
"address_1": "231 Albert Sabin Way",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452672827",
"country_code": "US",
"telephone_number": "513-558-5235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGWARAMGBO",
"first_name": "NKEMDI",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-28",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A195805",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A195805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.