NPIMap

Individual provider Active NPI

Christopher Robert Entwisle, M.D.

  • Gastroenterology Physician
  • Livermore, CA
National Provider Identifier
1841256963
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A95045 Issued in CA
Practice address
1133 E Stanley Blvd
Suite 207
Livermore, CA 94550-4200
Phone
(925) 245-1238
Fax
(925) 245-9849
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A95045 CA Primary

Addresses

Primary practice location

1133 E Stanley Blvd
Suite 207
Livermore, CA 94550-4200

Mailing address

1133 E Stanley Blvd
Suite 207
Livermore, CA 94550-4200
Phone (925) 245-1238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060530000245 CA Practitioner - Gastroenterology 1355352659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy85
Upper gastrointestinal (GI) endoscopy for acid reflux83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Current Accepting new patients
University Healthcare Alliance Gastroenterology CurrentSince Jun 1, 2015 Accepting new patients
Stanford Health Care CurrentSince Oct 14, 2024 Accepting new patients
Stanford Health Care CurrentSince Oct 14, 2024 Accepting new patients

Locations

1133 E Stanley Blvd
Ste 207
Livermore, CA 94550
Phone (925) 245-1238

1133 E Stanley Blvd
Ste 209
Livermore, CA 94550
Phone (925) 460-8167

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

5725 W Las Positas Blvd
Ste 110
Pleasanton, CA 94588
Phone (925) 416-6767

5565 W Las Positas Blvd
Ste 320
Pleasanton, CA 94588
Phone (925) 460-0454

5565 W Las Positas Blvd
Pleasanton, CA 94588
Phone (803) 583-6735

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: centwisle146699@direct.stanfordhealthcare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1841256963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD",
            "address_2": "SUITE 207",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504200",
            "telephone_number": "925-245-1238",
            "fax_number": "925-245-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD",
            "address_2": "SUITE 207",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504200",
            "telephone_number": "925-245-1238",
            "fax_number": "925-245-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTWISLE",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A95045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.