NPIMap

Individual provider Active NPI

Justin P Dumouchel, M.D.

  • Pulmonary Disease Physician
  • Oakland, CA
National Provider Identifier
1508050212
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A108411 Issued in CA
Practice address
3300 Webster St Ste 1000
Oakland, CA 94609-3125
Phone
(510) 271-4400
Fax
(844) 852-1277
NPI assigned
Sep 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A108411 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A108411 CA
Pulmonary Disease Physician 207RP1001X A108411 CA Primary

Addresses

Primary practice location

3300 Webster St Ste 1000
Oakland, CA 94609-3125

Mailing address

3300 Webster St Ste 1000
Oakland, CA 94609-3125
Phone (510) 271-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121228000378 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2567615479 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Pittsburgh School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians
Hill Health Inc a Medical CorporationGroup PAC ID 8527362037, 10 clinicians

Practice addresses (Care Compare)

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-4444

3300 Webster St
Suite 1000
Oakland, CA 94609-3125
Phone (510) 271-4400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Current Accepting new patients
Hill Health Inc a Medical Corporation Internal Medicine CurrentSince Oct 31, 2021 Accepting new patients
KND Development 59 LLC CurrentSince May 27, 2013 Accepting new patients
Regents of the University of California CurrentSince Nov 15, 2012 Accepting new patients
KND Development 59, LLC CurrentSince May 27, 2013 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Regents of the University of California Pulmonary Disease CurrentSince Nov 15, 2012 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Regents of the University of California Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients

Locations

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

3300 Webster St
Ste 1000
Oakland, CA 94609
Phone (510) 271-4400

4940 El Cajon Blvd
San Diego, CA 92115
Phone (619) 543-4500

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jdumouchel129353@hpmg.direct-ci.net

Organizations & group practices 12

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 3

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1508050212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 1000",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093125",
            "telephone_number": "510-271-4400",
            "fax_number": "510-271-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 1000",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093125",
            "telephone_number": "510-271-4400",
            "fax_number": "844-852-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMOUCHEL",
        "first_name": "JUSTIN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A108411",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A108411",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A108411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.