Individual provider Active NPI

Harkiran K Grewal, MD

  • Infectious Disease Physician
  • Castro Valley, CA
National Provider Identifier
1790022416
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A135633 Issued in CA
Practice address
20400 Lake Chabot Rd Ste 102
Castro Valley, CA 94546-5314
Phone
(202) 444-0086
NPI assigned
Jan 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X MD044631 DC
Student in an Organized Health Care Education/Training Program 390200000X NY
Infectious Disease Physician 207RI0200X A135633 CA Primary

Addresses

Primary practice location

20400 Lake Chabot Rd Ste 102
Castro Valley, CA 94546-5314

Mailing address

PO Box 20309
Castro Valley, CA 94546-8309
Phone (925) 463-1318

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
I20190712000714 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8123394087 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135633CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diablo Infectious Disease Consultative Service Med GRP Inc Single Specialty CurrentSince Jul 31, 2019 Accepting new patients
Comprehensive Infectious Disease Consultants a Medical Corporation Single Specialty Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

20400 Lake Chabot Rd
Ste 102
Castro Valley, CA 94546
Phone (510) 247-9227

1141 Catalina Dr
#194
Livermore, CA 94550

13851 E 14th St
Ste 308
San Leandro, CA 94578
Phone (510) 351-1193

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hgrewal124544@direct.whhs.com

Organizations & group practices 3

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": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790022416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20309",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945468309",
            "telephone_number": "925-463-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20400 LAKE CHABOT RD STE 102",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465314",
            "telephone_number": "202-444-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "HARKIRAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "DC",
            "license": "MD044631",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A135633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.