Individual provider Active NPI

Vladimir Bokarius, M.D., PH.D., L.AC

  • Geriatric Psychiatry Physician
  • Richmond, CA
National Provider Identifier
1629021365
Registry record updated Dec 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
A84559 Issued in CA
Practice address
3260 Blume Dr Ste 450
Richmond, CA 94806-5203
Phone
(415) 787-4667
Fax
(415) 787-4667
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A84559 CA
Geriatric Psychiatry Physician 2084P0805X A84559 CA Primary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X A84559 CA

Addresses

Primary practice location

3260 Blume Dr Ste 450
Richmond, CA 94806-5203

Mailing address

2970 Hilltop Mall Rd
Ste 101
Richmond, CA 94806-1948
Phone (510) 323-2524

Other identifiers 1

IdentifierTypeStateIssuer
CK860AOtherCAPTAN

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
I20031218000489 CA Practitioner - Psychiatry 0345147195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 S Ellsworth Ave
Suite 511
San Mateo, CA 94401-3929
Phone (650) 276-5171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Occupational Health Psychiatry CurrentSince Jun 26, 2012 Accepting new patients
Comprehensive Care Consultants Psychiatry PastSince Jan 13, 2013 Accepting new patients

Locations

2970 Hilltop Mall Rd
Ste 101
Richmond, CA 94806
Phone (510) 243-9750

3260 Blume Dr
Ste 450
Richmond, CA 94806
Phone (510) 262-6551

2186 Geary Blvd
Ste 310
San Francisco, CA 94115
Phone (415) 787-4667

100 S Ellsworth Ave
Ste 511
San Mateo, CA 94401
Phone (650) 276-5171

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514592000000",
    "number": "1629021365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 HILLTOP MALL RD",
            "address_2": "STE 101",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948061948",
            "telephone_number": "510-323-2524",
            "fax_number": "510-323-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 BLUME DR STE 450",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065203",
            "telephone_number": "415-787-4667",
            "fax_number": "415-787-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKARIUS",
        "first_name": "VLADIMIR",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D., L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A84559",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A84559",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "A84559",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CK860A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

Verify at the official NPI Registry.