Active NPI
Vladimir Bokarius, M.D., PH.D., L.AC
- Geriatric Psychiatry Physician
- Richmond, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- A84559
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK860A | Other | CA | PTAN |
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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Occupational Health | Psychiatry | Current | Accepting new patients |
| Comprehensive Care Consultants | Psychiatry | Past | 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.
-
- Psychiatry Physician
- Richmond, CA
- NPI 1215289608
-
- Psychiatry Physician
- Richmond, CA
- NPI 1891095063
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2017; 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.