Individual provider Active NPI

Michael C Hoaglin, MD

  • Psychiatry Physician
  • Oakland, CA
National Provider Identifier
1174824726
Registry record updated Jul 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A146644 Issued in CA
Practice address
400 30TH St Ste 407
Oakland, CA 94609-3306
Phone
(415) 735-6453
Fax
(415) 548-2181
NPI assigned
Nov 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2023

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X A146644 CA
Psychosomatic Medicine Physician 2084P0015X S3670 TX
Psychosomatic Medicine Physician 2084P0015X DR.0062123 CO
Psychosomatic Medicine Physician 2084P0015X MD465601 PA
Psychosomatic Medicine Physician 2084P0015X ME143769 FL
Psychosomatic Medicine Physician 2084P0015X 132925 AK
Adult Mental Health Clinic/Center 261QM0850X S3670 TX
Adult Mental Health Clinic/Center 261QM0850X 2019-01766 NC
Adult Mental Health Clinic/Center 261QM0850X 292908 NY
Adult Mental Health Clinic/Center 261QM0850X DR.0062123 CO
Adult Mental Health Clinic/Center 261QM0850X ME143769 FL
Adult Mental Health Clinic/Center 261QM0850X MD465601 PA
Psychiatry Physician 2084P0800X A146644 CA Primary

Addresses

Primary practice location

400 30TH St Ste 407
Oakland, CA 94609-3306

Mailing address

400 30TH St Ste 407
Oakland, CA 94609-3306
Phone (415) 735-6453

Other practice location 1

408 Jay St
Brooklyn, NY 11201-5173
Phone (415) 735-6453

Other practice location 2

2940 Summit St Ste 2D
Oakland, CA 94609-3416
Phone (415) 735-6453

Other practice location 3

2211 Post St Ste 300
San Francisco, CA 94115-3442
Phone (415) 735-6453

Other practice location 4

11211 Katy Fwy Ste 252
Houston, TX 77079-2126
Phone (415) 735-6453

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180411003086 CA Practitioner - PsychiatryPractitioner - Preventive MedicinePractitioner - Emergency Medicine 4880957430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Preventive Medicine
Education
Perelman School of Med at the University of Pennsylvania, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael C Hoaglin MD IncGroup PAC ID 8921405291, 2 clinicians

Practice addresses (Care Compare)

400 30TH St
Suite 407
Oakland, CA 94609-3321
Phone (415) 735-6453

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292908NYMDLicensed Practical Nurse
132925AKMDPsychosomatic Medicine Physician
A146644CAMDPsychosomatic Medicine Physician
DR.0062123COMDPsychosomatic Medicine Physician
ME143769FLMDPsychosomatic Medicine Physician
2019-01766NCMDAdult Mental Health Clinic/Center
MD465601PAMDAdult Mental Health Clinic/Center
S3670TXMDAdult Mental Health Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
DRH Medical Group CurrentSince Jun 30, 2023 Accepting new patients

Locations

400 30th St
Ste 407
Oakland, CA 94609
Phone (415) 735-6453

2940 Summit St
Ste 2D
Oakland, CA 94609
Phone (510) 408-6532

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

Interoperability endpoints

  • Direct secure messaging: gutfeelingspsychosomaticmedicine.michaelhoaglin@155805.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1289692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690675200000",
    "number": "1174824726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 30TH ST STE 407",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093306",
            "telephone_number": "415-735-6453",
            "fax_number": "415-548-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 30TH ST STE 407",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093306",
            "telephone_number": "415-735-6453",
            "fax_number": "415-548-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Jay St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015173",
            "country_code": "US",
            "telephone_number": "415-735-6453",
            "fax_number": "415-548-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2940 Summit St Ste 2D",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093416",
            "country_code": "US",
            "telephone_number": "415-735-6453",
            "fax_number": "415-548-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Post St Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941153442",
            "country_code": "US",
            "telephone_number": "415-735-6453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11211 Katy Fwy Ste 252",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770792126",
            "country_code": "US",
            "telephone_number": "415-735-6453",
            "fax_number": "415-548-2181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOAGLIN",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-14",
        "last_updated": "2023-07-30",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CA",
            "license": "A146644",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "TX",
            "license": "S3670",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "CO",
            "license": "DR.0062123",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "PA",
            "license": "MD465601",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "FL",
            "license": "ME143769",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "AK",
            "license": "132925",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": "S3670",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "2019-01766",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "292908",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CO",
            "license": "DR.0062123",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "ME143769",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "PA",
            "license": "MD465601",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A146644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.