Individual provider Active NPI

Peter A Hooberman, M.D.

  • Gastroenterology Physician
  • Castro Valley, CA
National Provider Identifier
1710098298
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G25964 Issued in CA
Practice address
19845 Lake Chabot Rd
Suite,104
Castro Valley, CA 94546-4055
Phone
(510) 537-4415
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G25964 CA Primary

Addresses

Primary practice location

19845 Lake Chabot Rd
Suite,104
Castro Valley, CA 94546-4055

Mailing address

19845 Lake Chabot Rd
Suite, 104
Castro Valley, CA 94546-4055
Phone (510) 537-4415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Specialists Medical Group, Inc a Medical Corporation Gastroenterology PastSince Jan 1, 2003 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1710098298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19845 LAKE CHABOT RD",
            "address_2": "SUITE, 104",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464055",
            "telephone_number": "510-537-4415",
            "fax_number": "510-537-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19845 LAKE CHABOT RD",
            "address_2": "SUITE,104",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464055",
            "telephone_number": "510-537-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOBERMAN",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G25964",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.