NPIMap

Organization Active NPI

Hayes B. Gladstone, MD, PC.

Doing business as Gladstone Clinic for Skin Cancer, Lasers, Aesthetic Surgery

  • Dermatology Physician
  • Danville, CA
National Provider Identifier
1376947978
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
HAYES B. GLADSTONE, MD, PC.
Doing business as
Gladstone Clinic for Skin Cancer, Lasers, Aesthetic Surgery
Practice address
3860 Blackhawk Rd Ste 140
Danville, CA 94506-4832
Phone
(925) 837-6000
NPI assigned
Oct 10, 2014
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Dr. Hayes B Gladstone, MDNPI 1619003282
Title
President
Phone
(925) 837-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary
MOHS-Micrographic Surgery Physician 207ND0101X NU

Addresses

Primary practice location

3860 Blackhawk Rd Ste 140
Danville, CA 94506-4832

Mailing address

3860 Blackhawk Rd Ste 140
Danville, CA 94506-4832
Phone (925) 837-6000

Other names 1

  • Gladstone Clinic for Skin Cancer, Lasers, Aesthetic Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141229002252 CA Part B Supplier - Clinic/Group Practice 4587987474 Receives reassigned benefits from 12 practitioners
Practice locations: Pleasanton, CA; Walnut Creek, CA; San Ramon, CA; Danville, CA; Manteca, CA

National Provider Directory

National Provider Directory

Locations

3860 Blackhawk Rd
Ste 140
Danville, CA 94506
Phone (925) 837-6000

101 Park Pl
Ste 200
San Ramon, CA 94583
Phone (925) 837-6000

1808 Tice Valley Blvd
Walnut Creek, CA 94595
Phone (925) 256-0527

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1376947978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 BLACKHAWK RD STE 140",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064832",
            "telephone_number": "925-837-6000",
            "fax_number": "925-837-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 BLACKHAWK RD STE 140",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064832",
            "telephone_number": "925-837-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES B. GLADSTONE, MD, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "GLADSTONE",
        "authorized_official_first_name": "HAYES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-837-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gladstone Clinic for Skin Cancer, Lasers, Aesthetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gladstone Clinic for Skin Cancer, Lasers, Aesthetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.