Individual provider Active NPI

Karin Denevi, MD

  • Gynecology Physician
  • Danville, CA
National Provider Identifier
1316916224
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G53633 Issued in CA
Practice address
901 San Ramon Valley Blvd
#130
Danville, CA 94526-4034
Phone
(925) 820-6456
NPI assigned
Mar 14, 2006
Last updated
Jun 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G53633 CA Primary

Addresses

Primary practice location

901 San Ramon Valley Blvd
#130
Danville, CA 94526-4034

Mailing address

901 San Ramon Valley Blvd
#130
Danville, CA 94526-4034
Phone (925) 820-6456

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
I20120202000197 CA Practitioner - Obstetrics/Gynecology 4486811452 Reassigns benefits to 1 organization
Practice locations: Danville, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Irvine, California College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5601 Norris Canyon Rd
Suite 210
San Ramon, CA 94583-5407
Phone (925) 820-6456

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53633CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gratitude Collaborative Healing a Professional Corporation Gynecology CurrentSince May 31, 2022 Accepting new patients
Infectious Disease Medical Group PastSince May 31, 2022 Accepting new patients
Avenues for Health Past Accepting new patients

Locations

5601 Norris Canyon Rd
Ste 210
San Ramon, CA 94583
Phone (925) 820-6456

Interoperability endpoints

  • Direct secure messaging: karin.de.nevi.1@13562.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1316916224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SAN RAMON VALLEY BLVD",
            "address_2": "#130",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264034",
            "telephone_number": "925-820-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SAN RAMON VALLEY BLVD",
            "address_2": "#130",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264034",
            "telephone_number": "925-820-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEVI",
        "first_name": "KARIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G53633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.