Individual provider Active NPI

Emily Hunter-Adamson, MD

  • Family Medicine Physician
  • San Pablo, CA
National Provider Identifier
1821592759
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A1666963 Issued in CA
Practice address
2023 Vale Rd
San Pablo, CA 94806-3834
Phone
(510) 215-9092
NPI assigned
Mar 23, 2018
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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 A1666963 CA Primary

Addresses

Primary practice location

2023 Vale Rd
San Pablo, CA 94806-3834

Mailing address

430 Capistrano Ave
San Francisco, CA 94112-2506
Phone (316) 680-7541

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
I20211111002208 CA Practitioner - Family Practice 7416351234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelong Medical CareGroup PAC ID 2062304538, 75 clinicians

Practice addresses (Care Compare)

3260 Sacramento St
Berkeley, CA 94702-2739
Phone (510) 428-4500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A1666963CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care Family Medicine CurrentSince Aug 11, 2021 Accepting new patients
Lifelong Medical Care Single Specialty CurrentSince Aug 11, 2021 Accepting new patients

Locations

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

Organizations & group practices 2

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1821592759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 CAPISTRANO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122506",
            "telephone_number": "316-680-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 VALE RD",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063834",
            "telephone_number": "510-215-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER-ADAMSON",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A1666963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pablo, CA

Sources for this page

Verify at the official NPI Registry.