Individual provider Active NPI

Peter Lawrence Candell, M.D.

  • Family Medicine Physician
  • Alameda, CA
National Provider Identifier
1750302212
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G47981 Issued in CA
Practice address
2433 Central Ave
Suite a
Alameda, CA 94501-6562
Phone
(510) 521-2300
Fax
(510) 521-3950
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G47981 CA Primary

Addresses

Primary practice location

2433 Central Ave
Suite a
Alameda, CA 94501-6562

Mailing address

2433 Central Ave
Suite a
Alameda, CA 94501-6562
Phone (510) 521-2300

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

State licenses

LicenseStateTypeSpecialty
47981CAMDEndodontist
G47981CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Family Physician Medical Group Inc. Family Medicine CurrentSince Jul 7, 2000 Accepting new patients

Locations

2433 Central Ave
Ste A
Alameda, CA 94501
Phone (510) 521-2300

2100 Otis Dr
Ste A
Alameda, CA 94501
Phone (510) 351-4400

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750302212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016562",
            "telephone_number": "510-521-2300",
            "fax_number": "510-521-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016562",
            "telephone_number": "510-521-2300",
            "fax_number": "510-521-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELL",
        "first_name": "PETER",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G47981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.