Michael Anthony Niaki, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A120291 Issued in CA

Practice address

2800 Benedict Dr
San Leandro, CA 94577-6840

Phone

(650) 852-1364

Fax

(650) 852-1364

NPI assigned

Jun 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal MedicineAlso: Medical Genetics and Genomics

Education

Rush Medical College of Rush University, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alta Bates Summit Medical Center - Alta Bates Camp Hospital, Berkeley, CA, CCN 050305
• Kindred Hospital - San Francisco Bay Area Long-term care hospital, San Leandro, CA, CCN 052034
• Smith Ranch Skilled Nursing & Rehabilitation Cente Nursing home, San Rafael, CA, CCN 555595

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• GHC of San Rafael, LLC

  • Skilled Nursing Facility
  • San Rafael, CA
  • NPI 1023534443

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• The Redwoods, a Community of Seniors

  • Skilled Nursing Facility
  • Mill Valley, CA
  • NPI 1205809381
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• GHC of San Rafael, LLC

  • Skilled Nursing Facility
  • San Rafael, CA
  • NPI 1023534443

  Nursing home

  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • Berkeley, CA
  • NPI 1639523004
  Care Compare affiliation
• THC - Orange County, LLC

  • Long Term Care Hospital
  • San Leandro, CA
  • NPI 1306921929

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1457512360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 MIRAMONTE AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061038",
            "telephone_number": "650-852-1364",
            "fax_number": "650-852-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 BENEDICT DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776840",
            "telephone_number": "650-852-1364",
            "fax_number": "650-852-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIAKI",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A120291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trang Doan Nguyen, FNP
• Trina Nguyen
• Tu Nguyen
• Vivian Nguyen
• Vivian Vy Doan Nguyen, OTR
• Jeanine Nicholas
• Bri-Anna Elice Nicholson
• Timothy Mark Nickell, MHRS
• Elizabeth L. Nickels, M.A., PSY.D.
• Kalene Nickelson, ASW

• Internal Medicine Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.