Pleasanton Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PLEASANTON MEDICAL GROUP

Practice address

5924 Stoneridge Dr Ste 103
Pleasanton, CA 94588-5400

Phone

(925) 417-7505

NPI assigned

Oct 4, 2006

Last updated

Nov 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Iqbal Inayat Omarali, M.D.NPI 1588758148

Title

President

Phone

(925) 417-7505

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25176/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Iqbal Inayat Omarali, M.D.

  • Cardiovascular Disease Physician
  • Pleasanton, CA
  • NPI 1588758148
  Medicare reassignment Care Compare group NPD Authorized official
• Tasneem Bader-Omarali, M.D.

  • Internal Medicine Physician
  • Pleasanton, CA
  • NPI 1578658795
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1174618219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 103",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885400",
            "telephone_number": "925-417-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5924 STONERIDGE DR STE 103",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885400",
            "telephone_number": "925-417-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANTON MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "OMARALI",
        "authorized_official_first_name": "IQBAL",
        "authorized_official_middle_name": "INAYAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-417-7505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plastic and Reconstructive Surgery
• Erin Platt, MOTRL
• Pleasanton Allergy and Dermatology Inc
• Pleasanton Diagnostic Imaging, Inc.
• Pleasanton Emergency Medical Group
• Pleasanton Optometry, Inc.
• Pleasanton Physical Therapy Services, Inc.
• Pleasanton Physical Therapy Services, Inc. (Back on Track Physical Therapy)
• Pleasanton Surgery Center, LLC
• Pleasanton Surgical Center

• Internal Medicine Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.