NPIMap

Individual provider Active NPI

Abraham G Hsieh, MD

  • Otolaryngology Physician
  • Walnut Creek, CA
National Provider Identifier
1679520076
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A44211 Issued in CA
Practice address
2623 Shadelands Dr Ste 1
Walnut Creek, CA 94598-2512
Phone
(925) 933-8462
Fax
(925) 933-4460
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A44211 CA Primary

Addresses

Primary practice location

2623 Shadelands Dr Ste 1
Walnut Creek, CA 94598-2512

Mailing address

2623 Shadelands Dr Ste 1
Walnut Creek, CA 94598-2512
Phone (925) 933-8462

Other practice location 1

1776 Ygnacio Valley Rd
Ste. 210
Walnut Creek, CA 94598-3190
Phone (925) 933-8462

Other practice location 2

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

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
I20090218000001 CA Practitioner - Otolaryngology 7416990619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Tufts University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

2305 Camino Ramon
Suite 200
San Ramon, CA 94583-1316
Phone (925) 242-0647

2623 Shadelands Dr
Suite 1
Walnut Creek, CA 94598-2512
Phone (925) 933-8462

4725 1St St
Suite 100
Pleasanton, CA 94566-7366
Phone (925) 462-7060

5568 Gibraltar Dr
Pleasanton, CA 94588-8544
Phone (888) 924-1036

Hospital & facility affiliations

  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44211CAMDPharmacist
A44211CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance Otolaryngology CurrentSince Mar 1, 2016 Accepting new patients
Bass Medical Group Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
Affinity Medical Group Past Accepting new patients
John Muir Health Past Accepting new patients
Stanford Health Care Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

5568 Gibraltar Dr
Pleasanton, CA 94588
Phone (925) 534-6500

5575 W Las Positas Blvd
Ste 330
Pleasanton, CA 94588
Phone (925) 734-3333

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

5201 Norris Canyon Rd
Ste 220
San Ramon, CA 94583
Phone (925) 277-1900

2623 Shadelands Dr
Ste 1
Walnut Creek, CA 94598
Phone (650) 723-5281

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ahsieh149130@direct.stanfordhealthcare.org

Organizations & group practices 7

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 11

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1679520076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 SHADELANDS DR STE 1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-933-8462",
            "fax_number": "925-933-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 SHADELANDS DR STE 1",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-933-8462",
            "fax_number": "925-933-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1776 Ygnacio Valley Rd",
            "address_2": "Ste. 210",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945983190",
            "country_code": "US",
            "telephone_number": "925-933-8462",
            "fax_number": "925-933-4460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Pasteur Dr",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-723-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "ABRAHAM",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A44211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.