Individual provider Active NPI

John Alfred Hirshleifer, M.D

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1407893621
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G32352 Issued in CA
Practice address
1221 Broadway
3Rd Floor
Oakland, CA 94612-1837
Phone
(510) 662-5894
NPI assigned
May 31, 2006
Last updated
Sep 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G32352 CA Primary
Occupational Medicine Physician 2083X0100X G32352 CA

Addresses

Primary practice location

1221 Broadway
3Rd Floor
Oakland, CA 94612-1837

Mailing address

1221 Broadway
3Rd Floor
Oakland, CA 94612-1837
Phone (510) 662-5894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G32352CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1407893621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 BROADWAY",
            "address_2": "3RD FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121837",
            "telephone_number": "510-662-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 BROADWAY",
            "address_2": "3RD FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121837",
            "telephone_number": "510-662-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSHLEIFER",
        "first_name": "JOHN",
        "middle_name": "ALFRED",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G32352",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G32352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.