NPIMap

Organization Active NPI

California Post-Acute Medical Group 1, Inc.

  • Hospitalist Physician
  • Alameda, CA
National Provider Identifier
1265971949
Registry record updated Jun 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
CALIFORNIA POST-ACUTE MEDICAL GROUP 1, INC.
Practice address
508 Westline Dr
Alameda, CA 94501-5847
Phone
(702) 233-0684
NPI assigned
Feb 15, 2017
Last updated
Jun 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2017

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

Authorized official

Name
Mr. Sujal Mandavia, M.D
Title
President
Phone
(865) 693-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

508 Westline Dr
Alameda, CA 94501-5847

Mailing address

5000 Hopyard Rd
Suite 100
Pleasanton, CA 94588-3348

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170525001727 CA Part B Supplier - Clinic/Group Practice 5991072738 Receives reassigned benefits from 13 practitioners
Practice locations: San Mateo, CA; Walnut Creek, CA; Vallejo, CA; Sunnyvale, CA; Saratoga, CA; San Leandro, CA; San Jose, CA; San Francisco, CA…

National Provider Directory

National Provider Directory

Locations

508 Westline Dr
Alameda, CA 94501
Phone (510) 521-2765

1949 Grant Rd
Mountain View, CA 94040
Phone (650) 283-0611

2200 Tuolumne St
Vallejo, CA 94589
Phone (707) 644-7401

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498176000000",
    "number": "1265971949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HOPYARD RD",
            "address_2": "SUITE 100",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 WESTLINE DR",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015847",
            "telephone_number": "702-233-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA POST-ACUTE MEDICAL GROUP 1, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-06-23",
        "status": "A",
        "authorized_official_last_name": "MANDAVIA",
        "authorized_official_first_name": "SUJAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-693-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.