Individual provider Active NPI

Hiroyu Hatano, M.D.

  • Internal Medicine Physician
  • Palo Alto, CA
National Provider Identifier
1871631507
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A87614 Issued in CA
Practice address
3200 Middlefield Rd Ste C
Palo Alto, CA 94306-3000
Phone
(650) 850-4111
Fax
(650) 666-8219
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A87614 CA Primary

Addresses

Primary practice location

3200 Middlefield Rd Ste C
Palo Alto, CA 94306-3000

Mailing address

3200 Middlefield Rd Ste C
Palo Alto, CA 94306-3000
Phone (650) 850-4111

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
I20070611000730 CA Practitioner - Internal MedicinePractitioner - Infectious Disease 2365540580 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87614CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Aug 1, 2007 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group CurrentSince Aug 1, 2007 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Internal Medicine CurrentSince Aug 1, 2007 Accepting new patients

Locations

1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

995 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (415) 206-8611

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

Interoperability endpoints

  • Direct secure messaging: hiroyu.hatano@57160102772740.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1871631507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MIDDLEFIELD RD STE C",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063000",
            "telephone_number": "650-850-4111",
            "fax_number": "650-666-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MIDDLEFIELD RD STE C",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943063000",
            "telephone_number": "650-850-4111",
            "fax_number": "650-666-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATANO",
        "first_name": "HIROYU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A87614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.