CKS Medical Group Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

BS3515864 Issued in CA

Legal business name

CKS MEDICAL GROUP INC.

Practice address

2243 Mowry Ave
Suite D
Fremont, CA 94538-1630

Phone

(510) 795-8000

Fax

(510) 795-8001

NPI assigned

May 3, 2006

Last updated

Aug 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

JJ Singh

Title

Cfo

Phone

(510) 795-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13627/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/HEIFBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charan K Singh, M.D.

  • Neurology Physician
  • Fremont, CA
  • NPI 1821046319
  Medicare reassignment

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1841258100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2243 MOWRY AVE",
            "address_2": "SUITE D",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381630",
            "telephone_number": "510-795-8000",
            "fax_number": "510-795-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 MOWRY AVE",
            "address_2": "SUITE D",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381630",
            "telephone_number": "510-795-8000",
            "fax_number": "510-795-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKS MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "JJ",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-795-8000"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "BS3515864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMAN'S COMPENSATION",
            "identifier": "610338100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Fremont Youth and Family Services (Fremont Police Department)
• City of Fremont Youth and Family Services (Niles Elementary)
• City of Fremont Youth and Family Services
• City of Fremont, Human Services Department, MSSP
• Civic Medical Center, Inc.
• Beverly Claiborne, DDS
• April Clark
• Marques Demont Clark
• Rebecca Clark, RN, MSN
• William L Clauson, M.D.

• Neurology Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.