Active NPI
Michael C Hoaglin, MD
- Psychiatry Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A146644
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Perelman School of Med at the University of Pennsylvania, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 292908 | NY | MD | Licensed Practical Nurse |
| 132925 | AK | MD | Psychosomatic Medicine Physician |
| A146644 | CA | MD | Psychosomatic Medicine Physician |
| DR.0062123 | CO | MD | Psychosomatic Medicine Physician |
| ME143769 | FL | MD | Psychosomatic Medicine Physician |
| 2019-01766 | NC | MD | Adult Mental Health Clinic/Center |
| MD465601 | PA | MD | Adult Mental Health Clinic/Center |
| S3670 | TX | MD | Adult Mental Health Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRH Medical Group | Current | 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
- 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.
-
- Psychosomatic Medicine Physician
- Oakland, CA
- NPI 1558954545
-
- Urgent Care Clinic/Center
- Oakland, CA
- NPI 1790560225
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2023; 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.