Individual provider Active NPI

William C. Chow, D.O.

  • Specialist
  • Oakland, CA
National Provider Identifier
1417981192
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20A4862 Issued in CA
Practice address
3120 Webster St
Oakland, CA 94609-3421
Phone
(510) 681-8587
Fax
(888) 939-4229
NPI assigned
Jul 10, 2006
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20A4862 CA Primary

Addresses

Primary practice location

3120 Webster St
Oakland, CA 94609-3421

Mailing address

501 Beale St
PH 1B
San Francisco, CA 94105-5025
Phone (510) 895-0510

Other practice location 1

795 E. Second St.
Suite 5
Pomona, CA 91766-2007
Phone (909) 865-2565

Other identifiers 1

IdentifierTypeStateIssuer
20A4862OtherCALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SC, GA, FL, AL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20050502001223 CA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 8022057710 Reassigns benefits to 1 organization
Practice locations: Mill Valley, CA; Oakland, CA; Napa, CA
I20210716000310 SC Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 8022057710 Reassigns benefits to 1 organization
I20210910001280 GA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 8022057710 Reassigns benefits to 1 organization
I20220204001105 FL Practitioner - Dermatology 8022057710 Reassigns benefits to 1 organization
I20220316001375 AL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 8022057710 Reassigns benefits to 1 organization
I20231207002273 GA Practitioner - Dermatology 8022057710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Alabama, Inc.Group PAC ID 2466866355, 9 clinicians
Georgia Dermatology and Skin Cancer Center, LLCGroup PAC ID 7113980855, 53 clinicians

Practice addresses (Care Compare)

286 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone (334) 396-1555

656 S 8TH St
Griffin, GA 30224-4214
Phone (770) 228-2824

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision134
Removal of skin lesions1-10
Removal of skin cancer647
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4862CAMDMarriage & Family Therapist
20A4862CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Dermatology & Skin Cancer Center, LLC CurrentSince Dec 5, 2023 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Feb 1, 2022 Accepting new patients
Pleasanton Allergy and Dermatology Inc Specialist CurrentSince Feb 1, 2020 Accepting new patients
Advanced Dermatology of Georgia, LLC CurrentSince Sep 1, 2021 Accepting new patients
Advanced Dermatology of SC PC CurrentSince Jul 1, 2021 Accepting new patients
Leavitt Medical Associates of Florida Inc CurrentSince Feb 1, 2022 Accepting new patients
Advanced Dermatology of Alabama, Inc. CurrentSince Mar 1, 2022 Accepting new patients
Richard a Kahn MD Inc PastSince Jul 25, 2021 Accepting new patients
North Georgia Dermatology, P.C. PastSince Aug 1, 2012 Accepting new patients
Dermatology Consultants of Marin Inc PastSince Sep 13, 2012 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Leavitt Medical Associates of Florida Inc Past Accepting new patients
Mill Valley Dermatology, Inc PastSince Aug 1, 2020 Accepting new patients
Medical Anesthesia Consultants Medical Group, Inc. Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Livermore Allergy Medical Clinic Specialist PastSince Feb 1, 2020 Accepting new patients

Locations

286 Mitylene Park Dr
Montgomery, AL 36117
Phone (334) 396-1555

286 Mitylene Park Dr
Ste 300
Montgomery, AL 36117
Phone (334) 396-1555

2324 Santa Rita Rd
Ste 2
Pleasanton, CA 94566
Phone (925) 846-5100

1905 Clint Moore Rd
Ste 103
Boca Raton, FL 33496
Phone (561) 241-4474

120 International Pkwy
Ste 240
Lake Mary, FL 32746
Phone (407) 333-4200

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

1918 SE 17th St
#300
Ocala, FL 34471
Phone (352) 620-2420

1410 W Broadway St
Ste 205
Oviedo, FL 32765
Phone (407) 359-2100

1503 Buenos Aires Blvd
Ste 100
The Villages, FL 32159
Phone (352) 753-2812

401 W 4th Ave
Albany, GA 31701
Phone (229) 883-1130

2400 Bellevue Rd
Ste 16
Dublin, GA 31021
Phone (478) 275-2694

2400 Bellevue Rd
Ste 21A
Dublin, GA 31021
Phone (478) 275-7202

656 S 8th St
Griffin, GA 30224
Phone (404) 228-2824

771 Old Norcross Rd
Ste 260
Lawrenceville, GA 30046
Phone (770) 962-5040

1157 Forsyth St
Macon, GA 31201
Phone (478) 745-8581

1650 Skylyn Dr
Ste 402
Spartanburg, SC 29307
Phone (864) 574-0017

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1417981192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BEALE ST",
            "address_2": "PH 1B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941055025",
            "telephone_number": "510-895-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093421",
            "telephone_number": "510-681-8587",
            "fax_number": "888-939-4229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 E. Second St.",
            "address_2": "Suite 5",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917662007",
            "country_code": "US",
            "telephone_number": "909-865-2565",
            "fax_number": "909-865-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOW",
        "first_name": "WILLIAM",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A4862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A4862",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.