Individual provider Active NPI

Valery Uhl, MD

  • Specialist
  • Emeryville, CA
National Provider Identifier
1760608897
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CA A43655 Issued in CA
Practice address
1480 64TH St
Suite 100
Emeryville, CA 94608-1183
Phone
(510) 629-6682
Fax
(510) 830-3316
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CA A43655 CA Primary

Addresses

Primary practice location

1480 64TH St
Suite 100
Emeryville, CA 94608-1183

Mailing address

2345 Country Hills Dr
Antioch, CA 94509-7319
Phone (925) 418-0278

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000593 CA Practitioner - Radiation Oncology 9133389943 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CA A43655CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliates in Dermatology Medical Group, Inc. CurrentSince Aug 16, 2016 Accepting new patients
Epic Care CurrentSince Feb 13, 2018 Accepting new patients
University of California San Francisco Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

2345 Country Hills Dr
Antioch, CA 94509
Phone (925) 418-0278

4721 Dallas Ranch Rd
Antioch, CA 94531
Phone (925) 676-2600

2540 East St
Concord, CA 94520
Phone (925) 674-2228

6380 Clark Ave
Dublin, CA 94568
Phone (925) 277-1900

1480 64th St
Ste 100
Emeryville, CA 94608
Phone (415) 565-6684

460 34th St
Oakland, CA 94609
Phone (510) 652-2926

13847 E 14th St
Ste 217
San Leandro, CA 94578
Phone (510) 483-2555

355 Lennon Ln
Ste 205
Walnut Creek, CA 94598
Phone (925) 935-0627

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1760608897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 COUNTRY HILLS DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945097319",
            "telephone_number": "925-418-0278",
            "fax_number": "925-978-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 64TH ST",
            "address_2": "SUITE 100",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081183",
            "telephone_number": "510-629-6682",
            "fax_number": "510-830-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHL",
        "first_name": "VALERY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "CA A43655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

Verify at the official NPI Registry.