Active NPI
Michael P. Hardy, M.D.
- Dermatology Physician
- Union City, CA
National Provider Identifier
1437237203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G57283
- Practice address
- 3553 Whipple Road
Union City, CA 94587-1507 - Phone
- (510) 454-1000
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G57283 | CA | Primary |
Addresses
Primary practice location
3553 Whipple Road
Union City, CA 94587-1507
Mailing address
3553 Whipple Road
Union City, CA 94587-1507
Phone (510) 454-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G572830 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G57283 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1437237203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3553 WHIPPLE ROAD",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945871507",
"telephone_number": "510-454-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3553 WHIPPLE ROAD",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945871507",
"telephone_number": "510-454-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "MICHAEL",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G57283",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G572830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Union City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.