Individual provider Active NPI

Peter S Hein, MD

  • Family Medicine Physician
  • Castro Valley, CA
National Provider Identifier
1497803282
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G46896 Issued in CA
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

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GD099ZOtherCAMEDICARE
APPROVEDOtherCAMEDI-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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171227001560 TX Practitioner - Family Practice 6507815677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G46896CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John C Fremont Healthcare District Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients
John C Fremont Healthcare District Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
John C Fremont Healthcare District Current Accepting new patients
Community Medical Centers Inc CurrentSince Aug 1, 2017 Accepting new patients
Santa Barbara County Auditor CurrentSince Apr 12, 2024 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Nov 11, 2017 Accepting new patients
Santa Barbara County Auditor Current Accepting new patients
Namita Mohideen MD Inc CurrentSince Jun 5, 2021 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. Current Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Nov 11, 2017 Accepting new patients
San Diego American Indian Health Center CurrentSince Feb 24, 2020 Accepting new patients
Community Medical Centers, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Santa Barbara County Auditor CurrentSince Apr 12, 2024 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

  • FHIR API: https://fhir-usa.unify.chbase.com/org/fremont-d0489e1b
  • FHIR API: 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.

View all 16

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

Verify at the official NPI Registry.