Kanwal Qidwai, MD

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

CA Issued in CA

Practice address

700 Adeline St
Oakland, CA 94607-2608

Phone

(713) 449-3536

NPI assigned

Apr 10, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Coppertower Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Cloverdale, CA
  • NPI 1033534466

  Single Specialty

  Medicare reassignment NPD
• Guider Health

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Brandon, FL
  • NPI 1477418697
  NPD Authorized official
• Coppertower Family Medical Center

  • Rural Health Clinic/Center
  • Cloverdale, CA
  • NPI 1467427310

  Single Specialty

  NPD
• Curasive LLC

  • Addiction (Substance Use Disorder) Counselor
  • Reno, NV
  • NPI 1104479971

  Single Specialty

  NPD
• Medtriq LLC

  • Primary Care Clinic/Center
  • University Place, WA
  • NPI 1841605524

  Single Specialty

  NPD

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1184980591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 BARNDANCE ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945553523",
            "telephone_number": "713-449-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ADELINE ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072608",
            "telephone_number": "713-449-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIDWAI",
        "first_name": "KANWAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "CA",
            "license": "133754",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "CA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Q. Robert Yan, M.D. Professional Corporation
• Musafir Husayn Qays
• QGB Therapy LLC
• Angela Qi
• Ying Qian, MD
• Joanna Qin
• Ruixiang Li Qin, DMD
• Kai Qiu, MD,MBA
• Angel Quach
• Long Quach

• Addiction Medicine (Psychiatry & Neurology) Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.