Michael D. Delange MD Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A070358 Issued in CA

Legal business name

MICHAEL D. DELANGE MD INC.

Practice address

22298 Main St
Hayward, CA 94541-4005

Phone

(510) 881-1041

Fax

(510) 881-2178

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Michael D Delange, M.D.

Title

Owner

Phone

(510) 881-1041

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1124293832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22298 MAIN ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414005",
            "telephone_number": "510-881-1041",
            "fax_number": "510-881-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22298 MAIN ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414005",
            "telephone_number": "510-881-1041",
            "fax_number": "510-881-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. DELANGE MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "DELANGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-881-1041",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A070358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "05D0598909 CA",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA UPIN",
            "identifier": "X74910",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "00A703580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John H. Metcalf, MD
• Nikida Metellus
• Gabrielle Metott
• Alison Danielle Metzger
• Hilary Loo Saam Meu, ASW
• Michael N Nguyen DDS Inc
• Serena Marie Michel
• Alicia Marie Mickley
• April Lee Milburn
• Gabrielle June Miller

• Primary Care Clinic/Center in Hayward, CA
• Providers in Hayward, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.