Individual provider Active NPI

Amycecilia E Mogal, MD

  • Anesthesiology Physician
  • Alameda, CA
National Provider Identifier
1528263407
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A130511 Issued in CA
Practice address
2070 Clinton Ave
Or, 2ND Floor
Alameda, CA 94501
Phone
(510) 814-4064
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X A130511 CA
Anesthesiology Physician 207L00000X A130511 CA Primary

Addresses

Primary practice location

2070 Clinton Ave
Or, 2ND Floor
Alameda, CA 94501

Mailing address

300 Pasteur Drive #H3580
MC 5640
Palo Alto, CA 94305
Phone (650) 725-8633

Other practice location 1

15630 18th Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486

Other practice location 2

2000 Mowry Ave
Fremont, CA 94538-1746
Phone (510) 818-7332

Other names 1

  • Dr. Amycecilia E Sanders Former name

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
I20160429001171 CA Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 2466635024 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
University of Chicago, Pritzker School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Specialists Associates PCGroup PAC ID 1557669439, 8 clinicians
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

1 Marcela Dr
Willits, CA 95490-5769
Phone (707) 459-6801

15630 18TH Ave
Clearlake, CA 95422-9336
Phone (707) 994-6486

19270 Sonoma Hwy
Sonoma, CA 95476
Phone (707) 939-6070

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 248-1000

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

39500 Fremont Blvd
Suite 100
Fremont, CA 94538-2101
Phone (510) 687-9510

420 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000

450 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000

700 River Dr
Fort Bragg, CA 95437-5403
Phone (707) 961-1234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
66.48
Promoting interoperability
100
Improvement activities
40
Cost
75.97

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130511CAMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Anesthesiology Current Accepting new patients
Stanford Health Care Anesthesiology CurrentSince May 15, 2019 Accepting new patients
Washington Township Medical Foundation Family Medicine CurrentSince Mar 22, 2016 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince May 15, 2019 Accepting new patients
Stanford Health Care CurrentSince May 15, 2019 Accepting new patients
Permanente Medical Group Inc Anesthesiology CurrentSince Mar 3, 2018 Accepting new patients
Permanente Medical Group Inc Anesthesiology Current Accepting new patients
Washington Township Medical Foundation CurrentSince Mar 22, 2016 Accepting new patients
Permanente Medical Group, Inc CurrentSince Mar 3, 2018 Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

2070 Clinton Ave
Fl 2
Alameda, CA 94501
Phone (510) 814-4064

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

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

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

300 Pasteur Dr
#H3580
Stanford, CA 94305
Phone (650) 723-6411

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

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: amogal90817@direct.whhs.com

Organizations & group practices 10

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.

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1528263407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DRIVE #H3580",
            "address_2": "MC 5640",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94305",
            "telephone_number": "650-725-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 CLINTON AVE",
            "address_2": "OR, 2ND FLOOR",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501",
            "telephone_number": "510-814-4064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15630 18th Ave",
            "address_purpose": "LOCATION",
            "city": "Clearlake",
            "state": "CA",
            "postal_code": "954229336",
            "country_code": "US",
            "telephone_number": "707-994-6486",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Mowry Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381746",
            "country_code": "US",
            "telephone_number": "510-818-7332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGAL",
        "first_name": "AMYCECILIA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "CA",
            "license": "A130511",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A130511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMYCECILIA",
            "last_name": "SANDERS",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.