Individual provider Active NPI

Mika Hiramatsu, M.D.

  • Pediatrics Physician
  • Hayward, CA
National Provider Identifier
1508893934
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G70483 Issued in CA
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

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9061025MedicaidCA
G00704830MedicaidCA

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
I20250916004097 CA Practitioner - Pediatric Medicine 8527362763 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
G70483CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Medical Foundation CurrentSince Sep 3, 2025 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 PastSince Jun 1, 1994 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

  • FHIR API: https://api.platform.athenahealth.com/9743/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

FacilityTypeRoleSince
Davis Street Primary Care ClinicSan Leandro, CA, CCN 751806 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.

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.

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

Verify at the official NPI Registry.