NPIMap

Organization Active NPI

Doctors Medical Surgical Associates

  • Specialist
  • Castro Valley, CA
National Provider Identifier
1568696987
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A46526 Issued in CA
Legal business name
DOCTORS MEDICAL SURGICAL ASSOCIATES
Practice address
20055 Lake Chabot Rd
Suite 200
Castro Valley, CA 94546-5331
Phone
(510) 690-0558
Fax
(510) 690-1894
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Ms. Ana I Morales
Title
Biller
Phone
(510) 690-0558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A46526 CA Primary

Addresses

Primary practice location

20055 Lake Chabot Rd
Suite 200
Castro Valley, CA 94546-5331

Mailing address

PO Box 20609
Castro Valley, CA 94546-8609
Phone (510) 690-0558

Other identifiers 1

IdentifierTypeStateIssuer
00A465260MedicaidCA

National Provider Directory

National Provider Directory

Locations

20055 Lake Chabot Rd
Ste 200
Castro Valley, CA 94546
Phone (510) 690-0558

13847 E 14th St
Ste 119
San Leandro, CA 94578
Phone (510) 889-9166

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1568696987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20609",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945468609",
            "telephone_number": "510-690-0558",
            "fax_number": "510-690-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20055 LAKE CHABOT RD",
            "address_2": "SUITE 200",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465331",
            "telephone_number": "510-690-0558",
            "fax_number": "510-690-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS MEDICAL SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "510-690-0558",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A46526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A465260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.