Active NPI
Peter S Hein, MD
- Family Medicine Physician
- Castro Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G46896
- Practice address
- 20101 Lake Chabot Rd
Castro Valley, CA 94546-5305 - Phone
- (510) 247-6300
- Fax
- (510) 247-6303
- NPI assigned
- Jan 8, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G46896 | CA | Primary |
Addresses
Primary practice location
20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Mailing address
15237 Eleventh St
Ste C
Victorville, CA 92395-3736
Phone (951) 929-6003
Other practice location 1
4053 Lone Tree Way
Antioch, CA 94531-6210
Phone (925) 756-3499
Other practice location 2
391 N San Jacinto St
Hemet, CA 92543-3118
Phone (951) 929-6003
Other practice location 3
12 Camino Encinas
Orinda, CA 94563-3304
Phone (510) 204-8075
Other practice location 4
2500 Milvia St
Berkeley, CA 94704-2636
Phone (510) 204-5514
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GD099Z | Other | CA | MEDICARE |
| APPROVED | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G46896 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John C Fremont Healthcare District | Family Medicine | Current | Accepting new patients |
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| John C Fremont Healthcare District | Family Medicine | Current | Accepting new patients |
| John C Fremont Healthcare District | Current | Accepting new patients | |
| Community Medical Centers Inc | Current | Accepting new patients | |
| Santa Barbara County Auditor | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc | Current | Accepting new patients | |
| Santa Barbara County Auditor | Current | Accepting new patients | |
| Namita Mohideen MD Inc | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc. | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc | Current | Accepting new patients | |
| San Diego American Indian Health Center | Current | Accepting new patients | |
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| Santa Barbara County Auditor | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Family Medicine | Past | Accepting new patients |
| John C. Fremont Healthcare District | Family Medicine | Past | Accepting new patients |
Locations
11555 Potrero Rd
#1-2
Banning, CA 92220
Phone (909) 849-4761
931 Walnut Ave
Carpinteria, CA 93013
Phone (805) 560-1050
16465 Sierra Lakes Pkwy
Ste 115
Fontana, CA 92336
Phone (909) 823-8000
11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470
5186 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-0850
5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631
2602 1st Ave
Ste 105
San Diego, CA 92103
2630 1st Ave
San Diego, CA 92103
Phone (619) 234-2158
300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461
300 N San Antonio Rd
Santa Barbara, CA 93110
Phone (805) 681-5220
1136 E Montecito St
Santa Barbara, CA 93103
Phone (805) 568-2099
1031 Waterloo Rd
Stockton, CA 95205
Phone (209) 940-5600
7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816
730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500
15237 Eleventh St
Ste C
Victorville, CA 92395
Phone (760) 493-9300
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/fremont-d0489e1b
- https://fhir4.healow.com/fhir/r4/IFGCCD
Organizations & group practices 16
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.
-
- Federally Qualified Health Center (FQHC)
- Grand Terrace, CA
- NPI 1174676670
TX
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
-
- Federally Qualified Health Center (FQHC)
- Stockton, CA
- NPI 1164586772
-
- Federally Qualified Health Center (FQHC)
- Esparto, CA
- NPI 1588729180
-
- Family Medicine Physician
- Coulterville, CA
- NPI 1124248901
-
- Family Medicine Physician
- Mariposa, CA
- NPI 1134342652
-
- Rural Acute Care Hospital
- Mariposa, CA
- NPI 1750504270
-
- Primary Care Clinic/Center
- Fontana, CA
- NPI 1649546144
-
- Federally Qualified Health Center (FQHC)
- Mountain Center, CA
- NPI 1366028086
-
- Federally Qualified Health Center (FQHC)
- Banning, CA
- NPI 1437202124
-
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
- NPI 1003902917
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1134162613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1497803282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15237 ELEVENTH ST",
"address_2": "STE C",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953736",
"telephone_number": "951-929-6003",
"fax_number": "951-929-1984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20101 LAKE CHABOT RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465305",
"telephone_number": "510-247-6300",
"fax_number": "510-247-6303"
}
],
"practiceLocations": [
{
"address_1": "4053 Lone Tree Way",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "CA",
"postal_code": "945316210",
"country_code": "US",
"telephone_number": "925-756-3499",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "391 N San Jacinto St",
"address_purpose": "LOCATION",
"city": "Hemet",
"state": "CA",
"postal_code": "925433118",
"country_code": "US",
"telephone_number": "951-929-6003",
"fax_number": "951-929-9678",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 Camino Encinas",
"address_purpose": "LOCATION",
"city": "Orinda",
"state": "CA",
"postal_code": "945633304",
"country_code": "US",
"telephone_number": "510-204-8075",
"fax_number": "925-254-0687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 Milvia St",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947042636",
"country_code": "US",
"telephone_number": "510-204-5514",
"fax_number": "510-204-5515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIN",
"first_name": "PETER",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G46896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "GD099Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "APPROVED",
"state": "CA"
}
],
"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 Jul 1, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.