NPIMap

Individual provider Active NPI

Chao Ho

  • Internal Medicine Physician
  • San Leandro, CA
National Provider Identifier
1629161146
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A55987 Issued in CA
Practice address
13847 East 14TH Street
Suite 113
San Leandro, CA 94564
Phone
(510) 618-1663
Fax
(510) 618-1611
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A55987 CA Primary

Addresses

Primary practice location

13847 East 14TH Street
Suite 113
San Leandro, CA 94564

Mailing address

13847 East 14TH Street
Suite 113
San Leandro, CA 94564
Phone (510) 618-1663

Other identifiers 1

IdentifierTypeStateIssuer
00A559870MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090103000005 CA Practitioner - Internal Medicine 5092877845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13847 E 14TH St
Suite 113
San Leandro, CA 94578-2625
Phone (510) 618-1663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Puji Medical Center PC Internal Medicine CurrentSince Aug 15, 2003 Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients

Locations

13847 E 14th St
Ste 113
San Leandro, CA 94578
Phone (510) 618-1663

Interoperability endpoints

  • Direct secure messaging: cho16072@alamedahs.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629161146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13847 EAST 14TH STREET",
            "address_2": "SUITE 113",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94564",
            "telephone_number": "510-618-1663",
            "fax_number": "510-618-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 EAST 14TH STREET",
            "address_2": "SUITE 113",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94564",
            "telephone_number": "510-618-1663",
            "fax_number": "510-618-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "CHAO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A55987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A559870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.