NPIMap

Organization Active NPI

Pro Care Medical Group Inc

  • Internal Medicine Physician
  • Danville, CA
National Provider Identifier
1255766267
Registry record updated May 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A114438 Issued in CA
Legal business name
PRO CARE MEDICAL GROUP INC
Practice address
16 Cathy LN
Danville, CA 94526-1114
Phone
(925) 322-3442
NPI assigned
Sep 10, 2013
Last updated
May 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2021

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

Authorized official

Name
Zahid Shaikh, MDNPI 1740441294
Title
Sole Member
Phone
(925) 322-3443

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
Internal Medicine Physician 207R00000X A114438 CA Primary

Addresses

Primary practice location

16 Cathy LN
Danville, CA 94526-1114

Mailing address

23 Railroad Ave Unit 541
Danville, CA 94526-1114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140327001051 CA Part B Supplier - Clinic/Group Practice 0648401091 Receives reassigned benefits from 10 practitioners
Practice locations: Concord, CA

National Provider Directory

National Provider Directory

Locations

23 Railroad Ave
Unit 541
Danville, CA 94526

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621036800000",
    "number": "1255766267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 RAILROAD AVE UNIT 541",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CATHY LN",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945261114",
            "telephone_number": "925-322-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2021-05-15",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "ZAHID",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "925-322-3443",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A114438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2021; 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.