Individual provider Active NPI

Linda E Hawk, N.P.

  • Nurse Practitioner
  • San Leandro, CA
National Provider Identifier
1558312587
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
227157 Issued in CA
Practice address
13939 E 14TH St Ste 180
San Leandro, CA 94578-2601
Phone
(510) 263-3300
Fax
(510) 263-3350
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 227157 CA Primary

Addresses

Primary practice location

13939 E 14TH St Ste 180
San Leandro, CA 94578-2601

Mailing address

13939 E 14TH St Ste 180
San Leandro, CA 94578-2601
Phone (510) 263-3300

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ1810ZMedicaidCA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111118000514 CA Practitioner - Nurse Practitioner 8527009315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jiva Health IncGroup PAC ID 5092115105, 46 clinicians

Practice addresses (Care Compare)

215 Lennon LN
Suite 200
Walnut Creek, CA 94598-2543
Phone (925) 685-4224

2182 E St
Concord, CA 94520-2012
Phone (925) 685-4228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4518CAMDOccupational Therapy Assistant
227157CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jiva Health, Inc CurrentSince Apr 1, 2023 Accepting new patients
Richard a Nusser MD Inc PastSince Feb 23, 1984 Accepting new patients

Locations

5173 Lone Tree Way
Antioch, CA 94531
Phone (925) 685-4228

141 Sand Creek Rd
Ste B
Brentwood, CA 94513
Phone (925) 626-7483

2182 East St
Concord, CA 94520
Phone (925) 392-4731

8303 Sierra College Blvd
Ste 109B
Roseville, CA 95661
Phone (916) 337-5502

2300 Bell Executive Ln
Sacramento, CA 95825
Phone (615) 327-6611

2001 Union St
Ste 250
San Francisco, CA 94123
Phone (415) 359-9999

13939 E 14th St
Ste 180
San Leandro, CA 94578
Phone (510) 263-3300

215 Lennon Ln
Ste 200
Walnut Creek, CA 94598
Phone (770) 365-5032

Interoperability endpoints

  • Direct secure messaging: lhawk166960@hpmg.direct-ci.net

Organizations & group practices 2

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1558312587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13939 E 14TH ST STE 180",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782601",
            "telephone_number": "510-263-3300",
            "fax_number": "510-263-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13939 E 14TH ST STE 180",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782601",
            "telephone_number": "510-263-3300",
            "fax_number": "510-263-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWK",
        "first_name": "LINDA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "227157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ1810Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.