Individual provider Active NPI

Alok Bhattacharya, M.D.

  • Neurology Physician
  • Fremont, CA
National Provider Identifier
1528092996
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0A42257 Issued in CA
Practice address
1900 Mowry Ave Ste 301
Fremont, CA 94538-1722
Phone
(510) 791-2442
Fax
(510) 791-2603
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0A42257 CA Primary

Addresses

Primary practice location

1900 Mowry Ave Ste 301
Fremont, CA 94538-1722

Mailing address

PO Box 14211
Fremont, CA 94539-1511
Phone (510) 791-2442

Other practice location 1

2485 High School Ave Ste 115
Concord, CA 94520-1816
Phone (925) 689-7249

Other practice location 2

3505 Lone Tree Way Ste 2A
Antioch, CA 94509-6067
Phone (925) 689-7249

Other identifiers 1

IdentifierTypeStateIssuer
00A422574MedicaidCA

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
I20090305000435 CA Practitioner - Neurology 4981760543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3755 Beacon Ave
Fremont, CA 94538-1411
Phone (510) 791-2442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0A42257CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Hospital District Past Accepting new patients
Upmc Washington Past Accepting new patients
John Muir Health Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Ukiah Adventist Hospital Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients

Organizations & group practices 9

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1528092996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14211",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945391511",
            "telephone_number": "510-791-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MOWRY AVE STE 301",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381722",
            "telephone_number": "510-791-2442",
            "fax_number": "510-791-2603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2485 High School Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945201816",
            "country_code": "US",
            "telephone_number": "925-689-7249",
            "fax_number": "925-757-7860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3505 Lone Tree Way Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096067",
            "country_code": "US",
            "telephone_number": "925-689-7249",
            "fax_number": "925-757-7860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHATTACHARYA",
        "first_name": "ALOK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "0A42257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A422574",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.