Individual provider Active NPI

Lindsay Rose Agolia, MD

  • Family Medicine Physician
  • Piedmont, CA
National Provider Identifier
1831351063
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A11393 Issued in CA
Practice address
1345 Grand Ave
Suite 103
Piedmont, CA 94610-1000
Phone
(510) 428-4900
Fax
(510) 428-4904
NPI assigned
Jun 29, 2008
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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 A11393 CA Primary

Addresses

Primary practice location

1345 Grand Ave
Suite 103
Piedmont, CA 94610-1000

Mailing address

1345 Grand Ave
Suite 103
Piedmont, CA 94610-1000
Phone (510) 428-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230529000090 TX Practitioner - Family Practice 6406081421 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A11393CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goodside Health Medical, PLLC CurrentSince Apr 25, 2023 Accepting new patients
Afato Medical Corporation Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Regency Urgent Care Medical Corp Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Goodside Health Medical, PLLC Family Medicine CurrentSince Apr 25, 2023 Accepting new patients

Locations

1429 Colusa Hwy
Ste B
Yuba City, CA 95993
Phone (530) 674-7000

1701 River Run
Ste 302
Ft Worth, TX 76107
Phone (512) 857-1222

901 W Kelly Ave
Pharr, TX 78577

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": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1831351063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 GRAND AVE",
            "address_2": "SUITE 103",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101000",
            "telephone_number": "510-428-4900",
            "fax_number": "510-428-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 GRAND AVE",
            "address_2": "SUITE 103",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101000",
            "telephone_number": "510-428-4900",
            "fax_number": "510-428-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOLIA",
        "first_name": "LINDSAY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-29",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A11393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, CA

Sources for this page

Verify at the official NPI Registry.