Individual provider Active NPI

Mofiz Haque, M.D.

  • Internal Medicine Physician
  • San Pablo, CA
National Provider Identifier
1811967375
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A80316 Issued in CA
Practice address
2000 Vale Rd
San Pablo, CA 94806-3808
Phone
(510) 235-7000
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-086799 OH
Internal Medicine Physician 207R00000X A80316 CA Primary

Addresses

Primary practice location

2000 Vale Rd
San Pablo, CA 94806-3808

Mailing address

PO Box 65274
Charlotte, NC 28265-0274
Phone (800) 377-8721

Other identifiers 1

IdentifierTypeStateIssuer
00A803160MedicaidCA

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
I20060502000853 CA Practitioner - HospitalistPractitioner - General PracticePractitioner - Internal Medicine 9739103771 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Warren Alpert Medical School of Brown University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Bay Area Hospitalist Medical Group Inc 60 clinicians

Practice addresses (Care Compare)

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80316CAMDPharmacist
35-086799OHMDEmergency Medicine Physician
A80316CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 18, 2022 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Nov 1, 2014 Accepting new patients
County of San Mateo CurrentSince Mar 1, 2016 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp. Internal Medicine CurrentSince May 10, 2021 Accepting new patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince Apr 6, 2020 Accepting new patients
California Emergency Physicians CurrentSince Nov 1, 2014 Accepting new patients
County of San Mateo CurrentSince Feb 19, 2020 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince May 10, 2021 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Oct 26, 2019 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Emergency Medicine Current Accepting new patients
Vituity Hospitalists PC Internal Medicine Current Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 18, 2022 Accepting new patients
California Emergency Physicians CurrentSince Nov 1, 2014 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jan 26, 2015 Accepting new patients
County of San Mateo CurrentSince Mar 1, 2016 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Gaurav Datta MD Inc Internal Medicine Past Accepting new patients
Nes Ohio, Inc. Emergency Medicine Past Accepting new patients
California Em-I Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients
California Em-I Medical Services Emergency Medicine Past Accepting new patients
Nes Ohio, Inc. Emergency Medicine Past Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients

Locations (25 of 36)

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

1580 S Winchester Blvd
Ste 202
Campbell, CA 95008
Phone (408) 364-7600

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

8833 Monterey Rd
Ste H
Gilroy, CA 95020
Phone (408) 842-1544

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

975 S Fairmont Ave
#1
Lodi, CA 95240
Phone (209) 339-7575

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

15891 Los Gatos Almaden Rd
Los Gatos, CA 95032
Phone (408) 358-5633

33 Mateo Ave
Millbrae, CA 94030
Phone (650) 583-8937

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

5974 Pentz Rd
Paradise, CA 95969
Phone (530) 872-2000

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1811967375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65274",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282650274",
            "telephone_number": "800-377-8721",
            "fax_number": "304-523-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VALE RD",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063808",
            "telephone_number": "510-235-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "MOFIZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-086799",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A80316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A803160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

Verify at the official NPI Registry.