Active NPI
Kevin Porciuncula, M.D.
- Family Medicine Physician
- Union City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A156667
- Practice address
- 33077 Alvarado Niles Rd
Union City, CA 94587-3109 - Phone
- (510) 248-1500
- Fax
- (510) 675-0846
- NPI assigned
- May 12, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT208466 | PA | |
| Family Medicine Physician | 207Q00000X | A156667 | CA | Primary |
Addresses
Primary practice location
33077 Alvarado Niles Rd
Union City, CA 94587-3109
Mailing address
2500 Mowry Ave Ste 255
Fremont, CA 94538-1605
Other practice location 1
5215 Centre Ave
Pittsburgh, PA 15232-1303
Phone (412) 623-2287
Other practice location 2
5215 Centre Ave
Pittsburgh, PA 15232-1303
Phone (412) 623-2287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.74 of 100
- Quality
- 66.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A156667 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Township Medical Foundation | Family Medicine | Current | Accepting new patients |
| Washington Township Medical Foundation | Current | Accepting new patients | |
| Hill Physicians Care Solutions, Inc. | Past | Accepting new patients |
Locations
2500 Mowry Ave
Ste 255
Fremont, CA 94538
39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800
33077 Alvarado Niles Rd
Union City, CA 94587
Phone (510) 248-1500
Interoperability endpoints
- kporciuncula126731@direct.whhs.com
- kevin.porciunculamdl.p1@direct.jwch.nextgenshare.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1346557014
Family Medicine
-
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
-
- Health Maintenance Organization
- San Ramon, CA
- NPI 1437769429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1629456520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 MOWRY AVE STE 255",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33077 ALVARADO NILES RD",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945873109",
"telephone_number": "510-248-1500",
"fax_number": "510-675-0846"
}
],
"practiceLocations": [
{
"address_1": "5215 Centre Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152321303",
"country_code": "US",
"telephone_number": "412-623-2287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5215 Centre Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152321303",
"country_code": "US",
"telephone_number": "412-623-2287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORCIUNCULA",
"first_name": "KEVIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-12",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT208466",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A156667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.