Active NPI
John William Fenton, M.D.
- Psychiatry Physician
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A96589
- Practice address
- 2060 Fairmont Dr
John George Hospital Unit B
San Leandro, CA 94578-1001 - Phone
- (510) 346-1446
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A96589 | CA | Primary |
Addresses
Primary practice location
2060 Fairmont Dr
John George Hospital Unit B
San Leandro, CA 94578-1001
Mailing address
2060 Fairmont Dr
John George Hospital Unit B
San Leandro, CA 94578-1001
Phone (510) 346-1446
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15400 Foothill Blvd
Castro Valley, CA 94578-1009
Phone (510) 895-4200
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96589 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Schuman-Liles Clinic, Inc | Psychiatry | Past | Accepting new patients |
| Louisiana Department of Health, Department of Health and Hospitals | Past | Accepting new patients | |
| Schuman-Liles Clinic, Inc | Psychiatry | Past | Accepting new patients |
Locations
2060 Fairmont Dr
Unit B
Castro Valley, CA 94578
Phone (510) 346-1446
2060 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 346-1300
15400 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 346-1468
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
Interoperability endpoints
- jfenton14175@alamedahs.direct-ci.com
Organizations & group practices 6
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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Clinic/Center
- Alameda, CA
- NPI 1124446158
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Psychiatry Physician
- Fremont, CA
- NPI 1164555660
-
- Psychiatry Physician
- Oakland, CA
- NPI 1861568909
-
- Skilled Nursing Facility
- New Orleans, LA
- NPI 1730674557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1154478550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 FAIRMONT DR",
"address_2": "JOHN GEORGE HOSPITAL UNIT B",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781001",
"telephone_number": "510-346-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 FAIRMONT DR",
"address_2": "JOHN GEORGE HOSPITAL UNIT B",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781001",
"telephone_number": "510-346-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENTON",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A96589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.