Hayes Bordman Gladstone, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A52367 Issued in CA

Practice address

3860 Blackhawk Rd Ste 140
Danville, CA 94506-4832

Phone

(925) 837-6000

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, OR2 enrollments

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 2

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

University of Rochester School of Medicine and Dentistry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hayes B Gladstone MD PCGroup PAC ID 4587987474, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: hgladstone@directaddress.net

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.

• Hayes B. Gladstone, MD, PC.

  • Dermatology Physician
  • Danville, CA
  • NPI 1376947978
  Medicare reassignment Care Compare group Authorized official
• Paul D. Reicherter, MD, PC

  • Clinical & Laboratory Dermatological Immunology Physician
  • Roseburg, OR
  • NPI 1407055437

  Dermatology

  Medicare reassignment NPD
• Hayes B. Gladstone, MD, PC.

  • Medical Specialty Clinic/Center
  • Danville, CA
  • NPI 1447028063
  NPD Authorized official
• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804
  Medicare reassignment
• San Ramon Regional Medical Center, LLC

  • General Acute Care Hospital
  • San Ramon, CA
  • NPI 1932131489
  NPD (past)
• Sequoia Health Services

  • General Acute Care Hospital
  • Redwood City, CA
  • NPI 1235172057
  NPD (past)
• Stanford Hospital and Clinics

  • Clinical Medical Laboratory
  • Palo Alto, CA
  • NPI 1174698468
  NPD (past)
• Hawaiian Islands Dermatology, LLC

  • Dermatology Physician
  • Kailua, HI
  • NPI 1891310355
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1619003282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 BLACKHAWK RD STE 140",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064832",
            "telephone_number": "925-837-6000",
            "fax_number": "925-837-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 BLACKHAWK RD STE 140",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064832",
            "telephone_number": "925-837-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 W Yosemite Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953375194",
            "country_code": "US",
            "telephone_number": "219-665-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Rossmoor Pkwy",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945952501",
            "country_code": "US",
            "telephone_number": "925-837-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLADSTONE",
        "first_name": "HAYES",
        "middle_name": "BORDMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A52367",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A52367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A523670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terese Ghilarducci, MFT36326
• Christina Giannini
• James M. Giblin, D.D.S.
• Shannon Renee Gigounas, MSN, RN, FNP
• Charles Louis Giolzetti
• Bradley J Glenn, MD
• Marcia Mary Glick, PHARM.D.
• Prajakta Godbole
• Christyan Oswaldo Godinez Villalobos
• Susanne Goeb, PA-C

• Dermatology Physician in Danville, CA
• Providers in Danville, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.