Individual provider Active NPI

Margarette Jeannette Shegog, MD

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1508202821
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A150203 Issued in CA
Practice address
455 Oconnor Dr Ste 200
San Jose, CA 95128-1632
Phone
(888) 924-1036
NPI assigned
May 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A150203 CA Primary
Family Medicine Physician 207Q00000X 2015-02341 NC

Addresses

Primary practice location

455 Oconnor Dr Ste 200
San Jose, CA 95128-1632

Mailing address

455 Oconnor Dr Ste 200
San Jose, CA 95128-1632
Phone (888) 924-1036

Other practice location 1

3306 Renner Dr
Fortuna, CA 95540
Phone (707) 725-6101

Other identifiers 1

IdentifierTypeStateIssuer
1508202821MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mshegog1658291@oc.providencedirect.org

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
I20170916000566 CA Practitioner - Family PracticePractitioner - Psychiatry 0345481743 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

1642 E Capitol Expy
San Jose, CA 95121-1800
Phone 40844534003730

455 Oconnor Dr
Suite 210
San Jose, CA 95128-1632
Phone (408) 995-5453

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150203CAMDFamily Medicine Physician
2015-02341NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Community Health Centers Current Accepting new patients
Stanford Health Care CurrentSince Sep 9, 2021 Accepting new patients
Stanford Health Care Current Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Jun 17, 2021 Accepting new patients
Open Door Community Health Centers CurrentSince Aug 14, 2017 Accepting new patients
University Healthcare Alliance CurrentSince Sep 1, 2021 Accepting new patients
Stanford Health Care CurrentSince Sep 9, 2021 Accepting new patients
Open Door Community Health Centers CurrentSince Aug 14, 2017 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Jun 17, 2021 Accepting new patients
Indian Health Center of Santa Clara Valley Current Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Open Door Community Health Centers Current Accepting new patients
County of Santa Clara Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Affinity Medical Group Past Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

785 18th St
Arcata, CA 95521
Phone (707) 822-2481

770 10th St
Arcata, CA 95521
Phone (707) 826-8610

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

50 E Hamilton Ave
Ste 120
Campbell, CA 95008
Phone (408) 357-1410

550 E Washington Blvd
Crescent City, CA 95531
Phone (707) 465-4636

2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051

3750 Rohnerville Rd
Fortuna, CA 95540
Phone (707) 725-4477

3306 Renner Dr
Fortuna, CA 95540
Phone (707) 725-6101

14251 Winchester Blvd
#200
Los Gatos, CA 95032
Phone (408) 426-5540

670 9th St
Ste 203
McKinleyville, CA 95521

1644 Central Ave
McKinleyville, CA 95519
Phone (707) 839-3068

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

1333 Meridian Ave
San Jose, CA 95125

455 Oconnor Dr
Ste 200
San Jose, CA 95128
Phone (408) 283-7666

1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112

2410 Samaritan Dr
Ste 201
San Jose, CA 95124
Phone (408) 371-9010

455 Oconnor Dr
Ste 210
San Jose, CA 95128
Phone (408) 831-5744

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: mshegog184963@santaclaravalley.direct-ci.net
  • Direct secure messaging: mshegog1658291@oc.providencedirect.org
  • Direct secure messaging: margarette.shegog@316525535952900.direct.elationemr.com
  • Direct secure messaging: mshegog318022@direct.stanfordhealthcare.org
  • Direct secure messaging: mshegog582786@direct.ochin.org

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

Hospital & facility affiliations 8

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": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1508202821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281632",
            "telephone_number": "888-924-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OCONNOR DR STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281632",
            "telephone_number": "888-924-1036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3306 Renner Dr",
            "address_purpose": "LOCATION",
            "city": "Fortuna",
            "state": "CA",
            "postal_code": "95540",
            "country_code": "US",
            "telephone_number": "707-725-6101",
            "fax_number": "707-725-2978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEGOG",
        "first_name": "MARGARETTE",
        "middle_name": "JEANNETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A150203",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2015-02341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508202821",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mshegog1658291@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1523 Main St",
            "city": "Fortuna",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955402430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.