Individual provider Active NPI

Charlotte Jia-Hwa Hsieh, M.D.

  • Pediatric Infectious Diseases Physician
  • Oakland, CA
National Provider Identifier
1093745630
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
A17388 Issued in CA
Practice address
747 52ND St
Pediatric Infectious Diseases
Oakland, CA 94609-1809
Phone
(510) 428-3336
Fax
(510) 601-3957
NPI assigned
Jul 3, 2006
Last updated
Mar 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A17388 CA
Pediatric Infectious Diseases Physician 2080P0208X A17388 CA Primary

Addresses

Primary practice location

747 52ND St
Pediatric Infectious Diseases
Oakland, CA 94609-1809

Mailing address

747 52ND St
Pediatric Infectious Diseases
Oakland, CA 94609-1809
Phone (510) 428-3336

Other identifiers 1

IdentifierTypeStateIssuer
A71388OtherCACA STATE LIC NUMBER

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
I20091116000259 CA Practitioner - Infectious DiseasePractitioner - Pediatric Medicine 7214075068 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A17388CAMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Pediatrics CurrentSince Dec 12, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 12, 2019 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Dec 12, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Dec 12, 2019 Accepting new patients
University of California San Francisco CurrentSince Dec 12, 2019 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
San Francisco, CA 94118
Phone (415) 514-3577

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1093745630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "PEDIATRIC INFECTIOUS DISEASES",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3336",
            "fax_number": "510-601-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "PEDIATRIC INFECTIOUS DISEASES",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3336",
            "fax_number": "510-601-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "CHARLOTTE",
        "middle_name": "JIA-HWA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A17388",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "A17388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LIC NUMBER",
            "identifier": "A71388",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.