Organization Active NPI

Meg Ohare MD Inc

  • Phlebology Physician
  • Walnut Creek, CA
National Provider Identifier
1447090105
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
Legal business name
MEG OHARE MD INC
Practice address
675 Ygnacio Valley Rd Ste B214
Walnut Creek, CA 94596-8209
Phone
(925) 937-8346
Fax
(925) 232-9621
NPI assigned
May 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Dr. Meg Mary O'Hare, MDNPI 1619131935
Title
Medical Director
Phone
(415) 596-4711

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202K00000X Primary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X

Addresses

Primary practice location

675 Ygnacio Valley Rd Ste B214
Walnut Creek, CA 94596-8209

Mailing address

675 Ygnacio Valley Rd Ste B214
Walnut Creek, CA 94596-8209
Phone (925) 937-8346

Other names 1

  • ELITE VEIN SPECIALISTS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240729000493 CA Part B Supplier - Clinic/Group Practice 6901342716 Receives reassigned benefits from 1 practitioner
Practice locations: Walnut Creek, CA

National Provider Directory

National Provider Directory

Locations

675 Ygnacio Valley Rd
Ste 8214
Walnut Creek, CA 94596

675 Ygnacio Valley Rd
Ste B214
Walnut Creek, CA 94596
Phone (925) 937-8346

Practitioners & affiliated clinicians

Practitioners 2

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": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1447090105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD STE B214",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968209",
            "telephone_number": "925-937-8346",
            "fax_number": "925-232-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD STE B214",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968209",
            "telephone_number": "925-937-8346",
            "fax_number": "925-232-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEG OHARE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "O'HARE",
        "authorized_official_first_name": "MEG",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-596-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE VEIN SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.