Individual provider Active NPI

Faizul Haque, MD

  • Cardiovascular Disease Physician
  • Walnut Creek, CA
National Provider Identifier
1609952597
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C54874 Issued in CA
Practice address
106 La Casa Via Ste 140
Walnut Creek, CA 94598-3084
Phone
(925) 274-2860
Fax
(925) 932-4527
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-115853 IL
Interventional Cardiology Physician 207RI0011X C54874 CA
Cardiovascular Disease Physician 207RC0000X C54874 CA Primary

Addresses

Primary practice location

106 La Casa Via Ste 140
Walnut Creek, CA 94598-3084

Mailing address

106 La Casa Via Ste 140
Walnut Creek, CA 94598-3084
Phone (925) 274-2860

Other practice location 1

106 La Casa Via Ste 140
Walnut Creek, CA 94598-3084
Phone (925) 274-2860

Other practice location 2

1450 Treat Blvd # 220B
Walnut Creek, CA 94597-2168
Phone (925) 937-1700

Other identifiers 1

IdentifierTypeStateIssuer
1609952597OtherNPI

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
I20111013000354 CA Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2466624515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Pennsylvania State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

1450 Treat Blvd
Suite 220B
Walnut Creek, CA 94597-2168
Phone (925) 937-1770

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-115853ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network CurrentSince Dec 31, 2022 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Trauma Physicians Billing Service Cardiovascular Disease CurrentSince Feb 6, 2023 Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
John Muir Health Past Accepting new patients
Stanford Health Care Internal Medicine Past Accepting new patients
John Muir Health Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients

Locations

3100 San Pablo Ave
Ste 430
Berkeley, CA 94702
Phone (415) 476-3360

2400 Balfour Rd
Ste 201
Brentwood, CA 94513
Phone (925) 308-8112

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

2485 High School Ave
Ste 100
Concord, CA 94520
Phone (925) 671-0610

2700 Grant St
Ste 309
Concord, CA 94520
Phone (925) 674-2650

87 Fenton St
Ste 210
Livermore, CA 94550
Phone (510) 537-3556

400 Taylor Blvd
Ste 101
Pleasant Hill, CA 94523
Phone (925) 465-8400

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

5860 Owens Dr
Ste 230
Pleasanton, CA 94588
Phone (925) 734-0336

1450 Treat Blvd
#220B
Walnut Creek, CA 94597
Phone (925) 937-1700

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1450 Treat Blvd
Ste 220B
Walnut Creek, CA 94597
Phone (925) 937-1770

Interoperability endpoints

  • Direct secure messaging: fhaque13930@ehr.johnmuirhealth.com

Organizations & group practices 8

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 5

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1609952597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LA CASA VIA STE 140",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983084",
            "telephone_number": "925-274-2860",
            "fax_number": "925-932-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LA CASA VIA STE 140",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983084",
            "telephone_number": "925-274-2860",
            "fax_number": "925-932-4527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 La Casa Via Ste 140",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945983084",
            "country_code": "US",
            "telephone_number": "925-274-2860",
            "fax_number": "925-932-4527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Treat Blvd # 220B",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945972168",
            "country_code": "US",
            "telephone_number": "925-937-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "FAIZUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-115853",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "C54874",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C54874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609952597",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.