Active NPI
Mika Hiramatsu, M.D.
- Pediatrics Physician
- Hayward, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G70483
- Practice address
- 22290 Foothill Blvd
Suite 1
Hayward, CA 94541-2731 - Phone
- (510) 581-1446
- Fax
- (510) 581-1805
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G70483 | CA | Primary |
Addresses
Primary practice location
22290 Foothill Blvd
Suite 1
Hayward, CA 94541-2731
Mailing address
22290 Foothill Blvd
Suite 1
Hayward, CA 94541-2731
Phone (510) 581-1446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9061025 | Medicaid | CA | |
| G00704830 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2001 The Embarcadero
Suite 1500
San Francisco, CA 94143-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G70483 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Health Medical Foundation | Current | Accepting new patients | |
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| Children'S Hospital & Research Center at Oakland | Past | Accepting new patients | |
| Castro Valley Pediatrics | Pediatrics | Past | Accepting new patients |
| Eden Medical Center/San Leandro Hospital Campus | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| The Davis Street Community Center Incorporated | Past | Accepting new patients |
Locations
22290 Foothill Blvd
#1
Hayward, CA 94541
Phone (510) 581-1446
747 52nd St
Oakland, CA 94609
Phone (510) 428-3070
Interoperability endpoints
- https://api.platform.athenahealth.com/9743/brand/1/csg/1/fhir/r4
- mhiramatsu122181@direct-ucsfmedicalcenter.org
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Davis Street Primary Care Clinic | Federally qualified health center | Corporate Director (8.33%) | Jun 1, 1994 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- San Leandro, CA
- NPI 1215358924
Corporate Director
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1922124866
-
- Pediatrics Physician
- Hayward, CA
- NPI 1801933668
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1003961251
-
- Rehabilitation Hospital Unit
- San Leandro, CA
- NPI 1679523633
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
-
- Federally Qualified Health Center (FQHC)
- San Leandro, CA
- NPI 1215358924
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1508893934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22290 FOOTHILL BLVD",
"address_2": "SUITE 1",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945412731",
"telephone_number": "510-581-1446",
"fax_number": "510-581-1805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22290 FOOTHILL BLVD",
"address_2": "SUITE 1",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945412731",
"telephone_number": "510-581-1446",
"fax_number": "510-581-1805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIRAMATSU",
"first_name": "MIKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G70483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9061025",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G00704830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.