Active NPI
Surinder Singh Kohal, M.D.
- Family Medicine Physician
- Brentwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C50698
- Practice address
- 2400 Balfour Rd
Suite 120
Brentwood, CA 94513-4945 - Phone
- (925) 308-8112
- Fax
- (925) 308-8710
- NPI assigned
- Nov 4, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C50698 | CA | |
| Family Medicine Physician | 207Q00000X | C50698 | CA | Primary |
Addresses
Primary practice location
2400 Balfour Rd
Suite 120
Brentwood, CA 94513-4945
Mailing address
Dept 34929
P.O. 39000
San Francisco, CA 94139-0001
Phone (925) 952-2828
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C506980 | Medicaid | CA | |
| 00C506880 | Other | CA | BLUE SHIELD |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2400 Balfour Rd
Suite 120
Brentwood, CA 94513-4956
Phone (925) 308-8112
Hospital & facility affiliations
- John Muir Home Health Services
- JMJ Home Health Services
- John Muir Medical Center - Walnut Creek Campus
- John Muir Medical Center - Concord Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50698 | CA | MD | General Practice Dentistry |
| C50698 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients | |
| Pleasanton Emergency Medical Group | Emergency Medicine | Current | Accepting new patients |
| John Muir Health | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients |
Locations
2400 Balfour Rd
Ste 201
Brentwood, CA 94513
Phone (925) 308-8112
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
4000 Dublin Blvd
Ste 150
Dublin, CA 94568
Phone (813) 732-7842
1133 E Stanley Blvd
Ste 151
Livermore, CA 94550
1111 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4018
1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418
180 Via Verde
Ste 100
San Dimas, CA 91773
Interoperability endpoints
- skohal8225@ehr.johnmuirhealth.com
Organizations & group practices 4
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.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1285625509
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brentwood, CA
- NPI 1184777344
-
- Home Health Agency
- Concord, CA
- NPI 1437161452
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1699766915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 34929",
"address_2": "P.O. 39000",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941390001",
"telephone_number": "925-952-2828",
"fax_number": "925-952-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 BALFOUR RD",
"address_2": "SUITE 120",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945134945",
"telephone_number": "925-308-8112",
"fax_number": "925-308-8710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHAL",
"first_name": "SURINDER",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C50698",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C50698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C506980",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00C506880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.