Active NPI
Haseeb Al-Mufti, M.D., Inc.
- Specialist
- San Leandro, CA
National Provider Identifier
1851547061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A37195
- Legal business name
- HASEEB AL-MUFTI, M.D., INC.
- Practice address
- 13939 E 14TH St
Suite 170
San Leandro, CA 94578-2613 - Phone
- (510) 483-2480
- Fax
- (415) 974-0670
- NPI assigned
- Aug 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Haseeb I Al-Mufti, M.D.
- Title
- President
- Phone
- (510) 604-6012
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A37195 | CA | Primary |
Addresses
Primary practice location
13939 E 14TH St
Suite 170
San Leandro, CA 94578-2613
Mailing address
660 4TH St
Unit 349
San Francisco, CA 94107-1618
Phone (510) 483-2480
Other names 1
- Renal Associates, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/1776/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- San Leandro, CA
- NPI 1649223017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279584000000",
"number": "1851547061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 4TH ST",
"address_2": "UNIT 349",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941071618",
"telephone_number": "510-483-2480",
"fax_number": "415-974-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13939 E 14TH ST",
"address_2": "SUITE 170",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782613",
"telephone_number": "510-483-2480",
"fax_number": "415-974-0670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HASEEB AL-MUFTI, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-07",
"last_updated": "2010-07-20",
"status": "A",
"authorized_official_last_name": "AL-MUFTI",
"authorized_official_first_name": "HASEEB",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-604-6012",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A37195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Renal Associates, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.