NPIMap

Organization Active NPI

East Bay Neurology, Inc.

  • Neurology Physician
  • Walnut Creek, CA
National Provider Identifier
1164928537
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
EAST BAY NEUROLOGY, INC.
Practice address
675 Ygnacio Valley Rd Ste A102
Walnut Creek, CA 94596-3882
Phone
(925) 938-5252
Fax
(925) 938-1343
NPI assigned
Apr 3, 2018
Last updated
Apr 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Authorized official

Name
Dr. Chirag Hashmukh Patel, MDNPI 1285923201
Title
Secretary
Phone
(805) 720-4867

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

675 Ygnacio Valley Rd Ste A102
Walnut Creek, CA 94596-3882

Mailing address

675 Ygnacio Valley Rd Ste A102
Walnut Creek, CA 94596-3882
Phone (925) 938-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180607000989 CA Part B Supplier - Clinic/Group Practice 4587929815 Receives reassigned benefits from 13 practitioners
Practice locations: San Ramon, CA; Walnut Creek, CA

National Provider Directory

National Provider Directory

Locations

675 Ygnacio Valley Rd
Walnut Creek, CA 94596
Phone (650) 692-9751

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1164928537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD STE A102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963882",
            "telephone_number": "925-938-5252",
            "fax_number": "925-938-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD STE A102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963882",
            "telephone_number": "925-938-5252",
            "fax_number": "925-938-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY NEUROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_middle_name": "HASHMUKH",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "805-720-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.