Active NPI
Michael Paul Brooks, D.P.M.
- Podiatrist
- Hayward, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1971
- Practice address
- 19682 Hesperian Blvd Ste 101a
Hayward, CA 94541-4752 - Phone
- (510) 917-4949
- Fax
- (510) 655-3341
- NPI assigned
- May 22, 2007
- Last updated
- Sep 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1971 | CA | Primary |
Addresses
Primary practice location
19682 Hesperian Blvd Ste 101a
Hayward, CA 94541-4752
Mailing address
5051 Proctor Ave
Oakland, CA 94618-2546
Phone (510) 917-4949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E19710 | Medicaid | CA |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
480 1St Ave
Portola, CA 96122-9405
Phone (530) 832-6600
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 345 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1971 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Plumas Health Care Home Health | Current | Accepting new patients | |
| Eastern Plumas Health Care District | Current | Accepting new patients | |
| Eastern Plumas Health Care District | Current | Accepting new patients | |
| Eastern Plumas Health Care District | Past | Accepting new patients | |
| Albert J Chaparro | Podiatrist | Past | Accepting new patients |
| Massen Medical Inc. | Past | Accepting new patients |
Locations
480 1st Ave
Portola, CA 96122
Phone (530) 832-6600
500 1st Ave
Portola, CA 96122
Phone (530) 832-4277
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Portola, CA
- NPI 1245236850
-
dba Eastern Plumas Health Care
- Critical Access Hospital
- Portola, CA
- NPI 1326044140
-
dba Eastern Plumas Health Care
- Critical Access Hospital
- Portola, CA
- NPI 1982600920
-
- Home Health Agency
- Portola, CA
- NPI 1043216849
-
dba Eastern Plumas Health Care
- Medicare Defined Swing Bed Hospital Unit
- Portola, CA
- NPI 1164428967
-
- Clinic/Center
- Hayward, CA
- NPI 1669533642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1881803047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5051 PROCTOR AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946182546",
"telephone_number": "510-917-4949",
"fax_number": "510-655-3341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19682 HESPERIAN BLVD STE 101A",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945414752",
"telephone_number": "510-917-4949",
"fax_number": "510-655-3341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E1971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E19710",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.