Active NPI
Radhika V Madhavan, MD
- Obstetrics & Gynecology Physician
- Castro Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A111469
- Practice address
- 20101 Lake Chabot Rd FL 4
Castro Valley, CA 94546-5305 - Phone
- (510) 886-3400
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A111469 | CA | Primary |
Addresses
Primary practice location
20101 Lake Chabot Rd FL 4
Castro Valley, CA 94546-5305
Mailing address
3687 Mt Diablo Blvd Ste 200
Lafayette, CA 94549-3746
Phone (510) 204-6660
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of California, San Diego School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-4444
3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222
Hospital & facility affiliations
- Alta Bates Summit Medical Center - Alta Bates Camp
- California Pacific Medical Ctr-Davies Campus Hosp
- Alta Bates Summit Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111469 | CA | MD | Marriage & Family Therapist |
| A111469 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Obstetrics & Gynecology | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Eden Medical Center/San Leandro Hospital Campus | Past | Accepting new patients |
Locations
3075 Adeline St
Ste 280
Berkeley, CA 94703
Phone (510) 486-3415
3075 Adeline St
Ste 270
Berkeley, CA 94703
Phone (510) 204-5600
2500 Milvia St
Berkeley, CA 94704
Phone (510) 204-5514
20101 Lake Chabot Rd
Fl 4
Castro Valley, CA 94546
Phone (510) 204-3410
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
3687 Mt Diablo Blvd
Ste 200
Lafayette, CA 94549
Phone (510) 204-6660
Interoperability endpoints
- rmadhavan125106@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
Obstetrics & Gynecology
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1043358542
-
- Rehabilitation Hospital Unit
- San Leandro, CA
- NPI 1679523633
-
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
-
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1659439834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1457513053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3687 MT DIABLO BLVD STE 200",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945493746",
"telephone_number": "510-204-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20101 LAKE CHABOT RD FL 4",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465305",
"telephone_number": "510-886-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADHAVAN",
"first_name": "RADHIKA",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A111469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.