Individual provider Active NPI

Hugo Estefano Altamirano, MD

  • Anesthesiology Physician
  • San Pablo, CA
National Provider Identifier
1477868917
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A121792 Issued in CA
Practice address
2000 Vale Rd
San Pablo, CA 94806-3808
Phone
(510) 970-5253
Fax
(510) 970-5746
NPI assigned
Aug 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A121792 CA Primary

Addresses

Primary practice location

2000 Vale Rd
San Pablo, CA 94806-3808

Mailing address

3000 Lillard Dr
165
Davis, CA 95618-4844
Phone (917) 541-5541

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141104001867 CA Practitioner - Anesthesiology 7719109982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
State University of New York at Stony Brook, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Specialists Medical CorporationGroup PAC ID 3678849049, 26 clinicians

Practice addresses (Care Compare)

1255 Travis Blvd
Fairfield, CA 94533-4801
Phone (800) 973-1540

Hospital & facility affiliations

  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • Bellaken Skilled Nursing Center Nursing home, Oakland, CA, CCN 555767
  • Oakland Healthcare & Wellness Center Nursing home, Oakland, CA, CCN 055215
  • Elmwood Care Center Nursing home, Berkeley, CA, CCN 555819
  • Berkeley Pines Skilled Nursing Center Nursing home, Berkeley, CA, CCN 055892
  • Fruitvale Healthcare Center Nursing home, Oakland, CA, CCN 555358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A121792CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SNF Specialists Medical Corporation CurrentSince Jun 3, 2024 Accepting new patients

Locations

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

624 E Elder St
Fallbrook, CA 92028
Phone (760) 451-4165

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.

Hospital & facility affiliations 6

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1477868917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 LILLARD DR",
            "address_2": "165",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956184844",
            "telephone_number": "917-541-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VALE RD",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063808",
            "telephone_number": "510-970-5253",
            "fax_number": "510-970-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMIRANO",
        "first_name": "HUGO",
        "middle_name": "ESTEFANO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-09",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A121792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

Verify at the official NPI Registry.