Individual provider Active NPI

Michael Paul Brooks, D.P.M.

  • Podiatrist
  • Hayward, CA
National Provider Identifier
1881803047
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1971 Issued in CA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000E19710MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080805000728 CA Practitioner - Podiatry 5991879223 Reassigns benefits to 2 organizations
Practice locations: Berkeley, CA

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

ProcedureNumber of procedures
Removal of nail tissue345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1971CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Plumas Health Care Home Health CurrentSince Apr 20, 2024 Accepting new patients
Eastern Plumas Health Care District CurrentSince Apr 20, 2024 Accepting new patients
Eastern Plumas Health Care District CurrentSince Dec 5, 2025 Accepting new patients
Eastern Plumas Health Care District Past Accepting new patients
Albert J Chaparro Podiatrist Past Accepting new patients
Massen Medical Inc. PastSince Jan 28, 2008 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.

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

Verify at the official NPI Registry.