Active NPI
Hugo Estefano Altamirano, MD
- Anesthesiology Physician
- San Pablo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A121792
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
1255 Travis Blvd
Fairfield, CA 94533-4801
Phone (800) 973-1540
Hospital & facility affiliations
- Centerwell Asian American Home Health
- Bellaken Skilled Nursing Center
- Oakland Healthcare & Wellness Center
- Elmwood Care Center
- Berkeley Pines Skilled Nursing Center
- Fruitvale Healthcare Center
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121792 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SNF Specialists Medical Corporation | Current | 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.
-
- Internal Medicine Physician
- Fairfield, CA
- NPI 1497265565
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Alameda, CA
- NPI 1336144484
-
- Skilled Nursing Facility
- Berkeley, CA
- NPI 1356746929
Nursing home
-
- Skilled Nursing Facility
- Oakland, CA
- NPI 1659693745
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.