NPIMap

Organization Active NPI

Madrone Care Network LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Moraga, CA
National Provider Identifier
1386275030
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
MADRONE CARE NETWORK LLC
Practice address
117 Brookline St
Moraga, CA 94556-1016
Phone
(925) 592-0970
NPI assigned
Jan 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Mrs. Niamh Isabel Van Meines, NPNPI 1669674966
Title
Ceo
Phone
(646) 942-8148

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

117 Brookline St
Moraga, CA 94556-1016

Mailing address

117 Brookline St
Moraga, CA 94556-1016
Phone (925) 592-0970

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1386275030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BROOKLINE ST",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561016",
            "telephone_number": "925-592-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BROOKLINE ST",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561016",
            "telephone_number": "925-592-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRONE CARE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "VAN MEINES",
        "authorized_official_first_name": "NIAMH",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-942-8148",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.