Individual provider Active NPI

Amar Anand, MD

  • Neurology Physician
  • Vallejo, CA
National Provider Identifier
1407297005
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A149857 Issued in CA
Practice address
155 Glen Cove Marina Rd E
Vallejo, CA 94591-7284
Phone
(707) 980-6257
Fax
(707) 980-6692
NPI assigned
Jul 11, 2013
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 01080969A IN
Neurology Physician 2084N0400X 01080969A IN
Neurology Physician 2084N0400X LL36095 SC
Neurology Physician 2084N0400X A149857 CA Primary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X A149857 CA
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician 2084D0003X A149857 CA

Addresses

Primary practice location

155 Glen Cove Marina Rd E
Vallejo, CA 94591-7284

Mailing address

712 Bancroft Rd Ste 905
Walnut Creek, CA 94598-1531
Phone (707) 980-6257

Other practice location 1

8 Medical Park Ste 420
Neurology Dept
Columbia, SC 29203
Phone (803) 545-6072

Other practice location 2

1455 Montego
Walnut Creek, CA 94598-2990
Phone (707) 748-7248

Other practice location 3

109 US Highway 66 E Ste 151
Tell City, IN 47586-2755
Phone (812) 848-2322

Other practice location 4

4770 Covert Ave Ste 101
Evansville, IN 47714-5600
Phone (812) 848-2322

Other practice location 5

675 Ygnacio Valley Rd
Walnut Creek, CA 94596-3860
Phone (925) 938-5252

Other practice location 6

1208 E 5th St Ste 300
Benicia, CA 94510
Phone (707) 748-7248

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
I20190703002235 CA Practitioner - NeurologyPractitioner - Pain Management 6709157365 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pain Management
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Neurology and Pain Management PCGroup PAC ID 0446674907, 2 clinicians

Practice addresses (Care Compare)

155 Glen Cove Marina Rd E
Suite 100
Vallejo, CA 94591-7284
Phone (707) 980-6636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149857CAMDDiagnostic Neuroimaging (Psychiatry & Neurology) Physician
LL36095SCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Neurology & Pain Management, PC Neurology CurrentSince Dec 23, 2019 Accepting new patients
East Bay Neurology, Inc. Neurology CurrentSince Apr 26, 2019 Accepting new patients
An Anesthesia and Pain Management Medical Corporation CurrentSince Apr 7, 2019 Accepting new patients
Integrated Pain Management Medical Group, Inc. CurrentSince Aug 29, 2022 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

1208 E 5th St
Ste 300
Benicia, CA 94510
Phone (707) 748-7248

3425 S Bascom Ave
Ste 200
Campbell, CA 95008
Phone (408) 356-5292

24301 Southland Dr
Ste 200
Hayward, CA 94545
Phone (510) 342-5721

15047 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 364-6799

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

155 Glen Cove Marina Rd E
Ste 100
Vallejo, CA 94591
Phone (707) 558-8699

1455 Montego
Ste 101
Walnut Creek, CA 94598
Phone (707) 980-6636

301 Lennon Ln
Ste 203
Walnut Creek, CA 94598
Phone (925) 557-1552

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

675 Ygnacio Valley Rd
Walnut Creek, CA 94596
Phone (650) 692-9751

675 Ygnacio Valley Rd
Ste A102
Walnut Creek, CA 94596
Phone (925) 414-5226

712 Bancroft Rd
Walnut Creek, CA 94598
Phone (925) 788-1435

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aanand121167@ehr.johnmuirhealth.com
  • Direct secure messaging: aanand2@direct.iuhealth.org
  • Direct secure messaging: aanand414484@hisp.ehr.sutterhealth.org

Organizations & group practices 5

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 4

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1407297005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 BANCROFT RD STE 905",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981531",
            "telephone_number": "707-980-6257",
            "fax_number": "707-980-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GLEN COVE MARINA RD E",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917284",
            "telephone_number": "707-980-6257",
            "fax_number": "707-980-6692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Medical Park Ste 420",
            "address_2": "Neurology Dept",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29203",
            "country_code": "US",
            "telephone_number": "803-545-6072",
            "fax_number": "803-545-6051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 Montego",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945982990",
            "country_code": "US",
            "telephone_number": "707-748-7248",
            "fax_number": "707-745-6822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 US Highway 66 E Ste 151",
            "address_purpose": "LOCATION",
            "city": "Tell City",
            "state": "IN",
            "postal_code": "475862755",
            "country_code": "US",
            "telephone_number": "812-848-2322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4770 Covert Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477145600",
            "country_code": "US",
            "telephone_number": "812-848-2322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 Ygnacio Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945963860",
            "country_code": "US",
            "telephone_number": "925-938-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1208 E 5th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Benicia",
            "state": "CA",
            "postal_code": "94510",
            "country_code": "US",
            "telephone_number": "707-748-7248",
            "fax_number": "707-745-6822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANAND",
        "first_name": "AMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IN",
            "license": "01080969A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01080969A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "LL36095",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A149857",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "A149857",
            "primary": false
        },
        {
            "code": "2084D0003X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": "CA",
            "license": "A149857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

Verify at the official NPI Registry.