Organization Active NPI

Serramonte Pulmonary, Asthma Sleep Clinic Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Pinole, CA
National Provider Identifier
1588949416
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A85496 Issued in CA
Legal business name
SERRAMONTE PULMONARY, ASTHMA SLEEP CLINIC INC.
Practice address
2150 Appian Way Ste 102
Pinole, CA 94564-2520
Phone
(510) 970-5864
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Abid Majid, MDNPI 1902828486
Title
MD
Phone
(510) 691-8460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A85496 CA
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X A85496 CA Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X A85496 CA
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X A85496 CA

Addresses

Primary practice location

2150 Appian Way Ste 102
Pinole, CA 94564-2520

Mailing address

8100 Oceanview Ter Apt 423
San Francisco, CA 94132-3281
Phone (510) 691-8460

Other practice location 1

3012 Lone Tree Way Ste 300
Antioch, CA 94509-4953
Phone (925) 727-3307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111018000276 CA Part B Supplier - Clinic/Group Practice 2163694167 Receives reassigned benefits from 1 practitioner
Practice locations: Hayward, CA; Pinole, CA
O20180202000745 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2163694167 Practice locations: Pinole, CA

National Provider Directory

National Provider Directory

Locations

27001 Calaroga Ave
Ste 2
Hayward, CA 94545
Phone (310) 887-4033

2160 Appian Way
Ste 202
Pinole, CA 94564
Phone (510) 724-6662

Practitioners & affiliated clinicians

Practitioners 4

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": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1588949416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 OCEANVIEW TER APT 423",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941323281",
            "telephone_number": "510-691-8460",
            "fax_number": "510-323-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 APPIAN WAY STE 102",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642520",
            "telephone_number": "510-970-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3012 Lone Tree Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945094953",
            "country_code": "US",
            "telephone_number": "925-727-3307",
            "fax_number": "510-323-7533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERRAMONTE PULMONARY, ASTHMA SLEEP CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "MAJID",
        "authorized_official_first_name": "ABID",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "510-691-8460",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A85496",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A85496",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A85496",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A85496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.