Active NPI
Mofiz Haque, M.D.
- Internal Medicine Physician
- San Pablo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A80316
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A803160 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060502000853 | CA | Practitioner - Hospitalist | 9739103771 | Reassigns benefits to 9 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- 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
Practice addresses (Care Compare)
2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000
Hospital & facility affiliations
- El Camino Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80316 | CA | MD | Pharmacist |
| 35-086799 | OH | MD | Emergency Medicine Physician |
| A80316 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity Hospitalists PC | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| California Emergency Physicians Medical Group, a Professional Corp. | Internal Medicine | Current | Accepting new patients |
| Quantum Bay Area Hospitalist Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| California Emergency Physicians | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| California Emergency Physicians Medical Group a Professional Corp | Current | Accepting new patients | |
| Quantum Healthcare Medical Associates Inc. | Internal Medicine | Current | 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 | Current | Accepting new patients |
| California Emergency Physicians | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of California, Inc | Internal Medicine | Current | Accepting new patients |
| County of San Mateo | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| Galen Inpatient Physicians Inc | Internal Medicine | Current | 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.
-
- Hospitalist Physician
- Mountain View, CA
- NPI 1902279656
CA, Internal Medicine
-
- Emergency Medicine Physician
- Truckee, CA
- NPI 1215365218
CA, Emergency Medicine
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
CA, Internal Medicine
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
CA, Internal Medicine
-
- Family Medicine Physician
- San Jose, CA
- NPI 1922020940
-
- Internal Medicine Physician
- Burlingame, CA
- NPI 1457945909
Internal Medicine
-
- Community/Behavioral Health Agency
- Redwood City, CA
- NPI 1528432481
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.