Individual provider Active NPI

Setareh Hafezi, M.D.

  • Obstetrics & Gynecology Physician
  • Hayward, CA
National Provider Identifier
1285807495
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A101532 Issued in CA
Practice address
27212 Calaroga Ave
Hayward, CA 94545-4339
Phone
(510) 785-5000
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A101532 CA Primary

Addresses

Primary practice location

27212 Calaroga Ave
Hayward, CA 94545-4339

Mailing address

27212 Calaroga Ave
Hayward, CA 94545-4339
Phone (510) 785-5000

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
I20101122001386 CA Practitioner - Obstetrics/Gynecology 1153517701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

20642 John Dr
Castro Valley, CA 94546-5103
Phone (888) 924-1036

4725 1St St
Suite 100
Pleasanton, CA 94566-7366
Phone (925) 462-7060

Hospital & facility affiliations

  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101532CAMDMarriage & Family Therapist
A101532CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance Obstetrics & Gynecology CurrentSince Oct 1, 2011 Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Affinity Medical Group Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

20642 John Dr
Castro Valley, CA 94546
Phone (510) 581-2559

20126 Stanton Ave
Ste 201
Castro Valley, CA 94546
Phone (510) 237-6320

319 Diablo Rd
Ste 105
Danville, CA 94526
Phone (925) 314-0260

27212 Calaroga Ave
Hayward, CA 94545
Phone (510) 783-5532

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: shafezi64896@direct.stanfordhealthcare.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1285807495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27212 CALAROGA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454339",
            "telephone_number": "510-785-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27212 CALAROGA AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454339",
            "telephone_number": "510-785-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFEZI",
        "first_name": "SETAREH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A101532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.