Active NPI
Juan A De Hoyos, MD
- Psychiatry Physician
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G87714
- Practice address
- 5776 Stoneridge Mall Rd Ste 300
Pleasanton, CA 94588-4522 - Phone
- (925) 556-6274
- Fax
- (925) 556-0485
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G87714 | CA | Primary |
Addresses
Primary practice location
5776 Stoneridge Mall Rd Ste 300
Pleasanton, CA 94588-4522
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ91891Z | Other | CA | MEDICARE GROUP ID# |
| ZZZ92073Z | Other | CA | MEDICARE GROUP ID# |
| ZZZ92069Z | Other | CA | MEDICARE GROUP ID# |
| ZZZ91892Z | Other | CA | MEDICARE GROUP ID# |
| 00G877140 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G87714 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark David Levine, MD Oakland PC | Psychiatry | Current | Accepting new patients |
| Mark David Levine M.D. Professional Corporation | Psychiatry | Current | Accepting new patients |
| Mark David Levine, MD Burlingame PC | Psychiatry | Current | Accepting new patients |
| Focus and Balance, PLLC | Psychiatry | Past | Accepting new patients |
| County of Santa Cruz | Past | Accepting new patients | |
| Hugo R. Hernandez, M.D., P.a. | Psychiatry | Past | Accepting new patients |
| Puentes Al Sur | Past | Accepting new patients | |
| County of Santa Cruz | Past | Accepting new patients |
Locations
1590 Drew Ave
Ste 200
Davis, CA 95618
Phone (530) 297-7500
39899 Balentine Dr
Ste 210
Newark, CA 94560
Phone (510) 657-9700
5776 Stoneridge Mall Rd
Ste 300
Pleasanton, CA 94588
Phone (925) 397-0411
3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898
Organizations & group practices 8
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.
-
dba Mindpath Health
- Psychiatry Physician
- Sacramento, CA
- NPI 1154697944
-
dba Community Psychiatry Associates
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
-
dba Community Psychiatry Associates
- Psychiatry Physician
- Oakland, CA
- NPI 1902022379
-
- Clinic/Center
- Santa Cruz, CA
- NPI 1659315430
-
dba Watsonville Health Center
- Federally Qualified Health Center (FQHC)
- Watsonville, CA
- NPI 1770709149
-
dba Health Services Agency-Mental Health Division
- Adult Mental Health Clinic/Center
- Watsonville, CA
- NPI 1992849012
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1073757100
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1255541298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1336181411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954",
"telephone_number": "916-576-7900",
"fax_number": "916-285-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5776 STONERIDGE MALL RD STE 300",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884522",
"telephone_number": "925-556-6274",
"fax_number": "925-556-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE HOYOS",
"first_name": "JUAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G87714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID#",
"identifier": "ZZZ91891Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID#",
"identifier": "ZZZ92073Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID#",
"identifier": "ZZZ92069Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID#",
"identifier": "ZZZ91892Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G877140",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.