Chabot Family Associates Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A110274 Issued in CA

Legal business name

CHABOT FAMILY ASSOCIATES INC.

Practice address

19845 Lake Chabot Rd Ste 205
Castro Valley, CA 94546-4055

Phone

(510) 582-6424

Fax

(510) 582-6462

NPI assigned

Dec 16, 2014

Organization subpart

No

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

Authorized official

Name

Manish Shrivastava

Title

Cfo

Phone

(510) 582-6424

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rinku Shrivastava, M.D.

  • Family Medicine Physician
  • Castro Valley, CA
  • NPI 1225369119
  Medicare reassignment Care Compare group NPD
• Marzia Mujaddide, PA-C

  • Physician Assistant
  • Modesto, CA
  • NPI 1548508369
  Medicare reassignment Care Compare group
• Inna Lipkind, NP

  • Nurse Practitioner
  • Castro Valley, CA
  • NPI 1407563331
  Medicare reassignment NPD

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1306244850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19845 LAKE CHABOT RD STE 205",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464055",
            "telephone_number": "510-582-6424",
            "fax_number": "510-582-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19845 LAKE CHABOT RD STE 205",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464055",
            "telephone_number": "510-582-6424",
            "fax_number": "510-582-6462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2324 Santa Rita Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945664150",
            "country_code": "US",
            "telephone_number": "510-582-6424",
            "fax_number": "510-582-6462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHABOT FAMILY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "SHRIVASTAVA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-582-6424"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A110274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Santos Casuga, BUSINESS OWNER
• Damoni Badru Cato-Cain
• Richard Cederstrom Jr., D.C.
• Katherine Cellini
• Karenth Galvan Centeno
• Chabot Urology Medical Associates, a Professional Corp.
• Christine Chace, PPS
• Mandeep Kaur Chadha, AUD
• Anthony Chan, M.D.
• Winnie W Chan, MD

• Family Medicine Physician in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.