NPIMap

Individual provider Active NPI

Steven Bruce Degalan, M.D

  • Interventional Cardiology Physician
  • Fremont, CA
National Provider Identifier
1508849860
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
G53602 Issued in CA
Practice address
39231 Liberty St
Fremont, CA 94538-1501
Phone
(510) 795-1700
Fax
(510) 887-3069
NPI assigned
Nov 21, 2005
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X G53602 CA Primary

Addresses

Primary practice location

39231 Liberty St
Fremont, CA 94538-1501

Mailing address

39231 Liberty St
Fremont, CA 94538-1501
Phone (510) 795-1700

Other practice location 1

27206 Calaroga Ave
Ste 115
Hayward, CA 94545-4300
Phone (510) 887-3068

Other identifiers 1

IdentifierTypeStateIssuer
00G536021MedicaidCA

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
I20040624000699 CA Practitioner - Cardiovascular Disease (Cardiology) 7416933239 Reassigns benefits to 1 organization
Practice locations: Fremont, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Michigan Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.78 of 100Reported as individual
Quality
90.23
Improvement activities
40
Cost
78.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Pacemaker insertion or repair11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53602CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Hospital District Current Accepting new patients
Washington Township Hospital District CurrentSince Oct 21, 2007 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

27206 Calaroga Ave
Ste 115
Hayward, CA 94545
Phone (510) 259-1201

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDHGBA/Endpoint/HDHGBA
  • Direct secure messaging: sdegalan13459@direct.whhs.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1508849860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39231 LIBERTY ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381501",
            "telephone_number": "510-795-1700",
            "fax_number": "510-887-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39231 LIBERTY ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381501",
            "telephone_number": "510-795-1700",
            "fax_number": "510-887-3069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27206 CALAROGA AVE",
            "address_2": "STE 115",
            "address_purpose": "LOCATION",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454300",
            "country_code": "US",
            "telephone_number": "510-887-3068",
            "fax_number": "510-887-3069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGALAN",
        "first_name": "STEVEN",
        "middle_name": "BRUCE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "G53602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G536021",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.