Active NPI
Alexei Adan
- Emergency Medicine Physician
- Castro Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A161408
- Practice address
- 20103 Lake Chabot Rd
Castro Valley, CA 94546-5305 - Phone
- (510) 727-3015
- NPI assigned
- Apr 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A161408 | CA | Primary |
Addresses
Primary practice location
20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Mailing address
20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 727-3320
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A161408 | Other | CA | CA MEDICAL LICENSE |
| MD465613 | Other | PA | PA MEDICAL LICENSE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190715000417 | CA | Practitioner - Emergency Medicine | 3476850397 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Perelman School of Med at the University of Pennsylvania, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 537-1234
Hospital & facility affiliations
- Eden Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.02 of 100
- Quality
- 86.75
- Improvement activities
- 40
- Cost
- 77.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A161408 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Emergency Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
Locations
20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234
Interoperability endpoints
- aadan455785@hisp.ehr.sutterhealth.org
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Castro Valley, CA
- NPI 1891786240
CA, Emergency Medicine
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": "1427932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1679968978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20103 LAKE CHABOT RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465305",
"telephone_number": "510-727-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20103 LAKE CHABOT RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465305",
"telephone_number": "510-727-3015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAN",
"first_name": "ALEXEI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-02",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A161408",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL LICENSE",
"identifier": "A161408",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA MEDICAL LICENSE",
"identifier": "MD465613",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.