Individual provider Active NPI

Indra P Singh, MD

  • Psychiatry Physician
  • Concord, CA
National Provider Identifier
1629173620
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
238692 Issued in NY
Practice address
2425 Bisso LN
#100
Concord, CA 94520-4897
Phone
(925) 521-5620
Fax
(925) 521-5639
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 238692 NY Primary

Addresses

Primary practice location

2425 Bisso LN
#100
Concord, CA 94520-4897

Mailing address

2425 Bisso LN
#100
Concord, CA 94520-4897
Phone (925) 521-5620

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
I20140501000384 CA Practitioner - Psychiatry 8729047287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Contra Costa CountyGroup PAC ID 8628052974, 74 clinicians

Practice addresses (Care Compare)

2425 Bisso LN
Suite 100
Concord, CA 94520-4817
Phone (925) 521-5620

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238692NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County CurrentSince Mar 26, 2014 Accepting new patients
Contra Costa County Current Accepting new patients
Alameda Health System CurrentSince Sep 15, 2014 Accepting new patients
Alameda Health System CurrentSince Sep 15, 2014 Accepting new patients
Contra Costa County CurrentSince Mar 26, 2014 Accepting new patients
Memorial Hospital, Albany, N.Y. Past Accepting new patients

Locations

2060 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 346-1300

1420 Willow Pass Rd
Ste 110
Concord, CA 94520
Phone (925) 646-5480

2425 Bisso Ln
Ste 100
Concord, CA 94520
Phone (925) 521-5620

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

Interoperability endpoints

  • Direct secure messaging: isingh323849@direct.ochin.org

Organizations & group practices 6

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 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1629173620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BISSO LN",
            "address_2": "#100",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204897",
            "telephone_number": "925-521-5620",
            "fax_number": "925-521-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BISSO LN",
            "address_2": "#100",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204897",
            "telephone_number": "925-521-5620",
            "fax_number": "925-521-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "INDRA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "238692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.