NPIMap

Individual provider Active NPI

Eugene McMillan, M.D.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1093822744
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G46057 Issued in CA
Practice address
350 Hawthorne Ave RM 2346
Oakland, CA 94609-3108
Phone
(510) 869-6883
Fax
(510) 869-6888
NPI assigned
Aug 25, 2006
Last updated
May 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G46057 CA Primary
Hospitalist Physician 208M00000X G46057 CA

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) 504-1893

Other practice location 1

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-1893

Other identifiers 1

IdentifierTypeStateIssuer
00G460570MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000480 CA Practitioner - HospitalistPractitioner - Internal Medicine 7113946997 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Geisel School of Medicine at Dartmouth, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Webster Medical ClinicGroup PAC ID 8224347703, 2 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians

Practice addresses (Care Compare)

13847 E 14TH St
Suite 106
San Leandro, CA 94578-2625
Phone (510) 922-8611

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-4444

2800 Benedict Dr
San Leandro, CA 94577-6840
Phone (510) 357-8300

550 N Monterey Ave
Ontario, CA 91764-3318
Phone (909) 391-0333

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G46057CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC Hospitalist CurrentSince Jan 5, 2015 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Feb 26, 2020 Accepting new patients
KND Development 59 LLC Hospitalist Current Accepting new patients
KND Development 59, LLC Hospitalist CurrentSince Jan 5, 2015 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Avant Inpatient Services Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

Interoperability endpoints

  • Direct secure messaging: emcmillan38594@hisp.ehr.sutterhealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1093822744",
    "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": "510-504-1893",
            "fax_number": "510-649-8287"
        },
        {
            "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",
            "fax_number": "510-869-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Ashby Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052067",
            "country_code": "US",
            "telephone_number": "510-204-1893",
            "fax_number": "510-649-8287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "EUGENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G46057",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G46057",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G460570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.