Individual provider Active NPI

Coletta Hargis, M.D.

  • Obstetrics Physician
  • Fremont, CA
National Provider Identifier
1891840815
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
G54747 Issued in CA
Practice address
2000 Mowry Ave
Fremont, CA 94538-1716
Phone
(510) 797-1111
Fax
(510) 818-6665
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X G54747 CA Primary

Addresses

Primary practice location

2000 Mowry Ave
Fremont, CA 94538-1716

Mailing address

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

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
I20151211000600 CA Practitioner - Obstetrics/Gynecology 1658672928 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
66.48
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G54747CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Medical Foundation CurrentSince Mar 21, 2023 Accepting new patients
Obstetrix Medical Group of California, a Professional Corporation CurrentSince Oct 9, 2017 Accepting new patients
Obhg California, P.C. CurrentSince Oct 11, 2015 Accepting new patients
Washington Township Medical Foundation CurrentSince Mar 21, 2023 Accepting new patients
Marshall Medical Center Past Accepting new patients
California Cardiovascular Consultants Past Accepting new patients

Locations

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

File 50978
Los Angeles, CA 90074

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

770 The City Dr S
Ste 4000
Orange, CA 92868
Phone (800) 463-6628

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

Interoperability endpoints

  • Direct secure messaging: chargis144785@direct.whhs.com
  • Direct secure messaging: chargis125708@santaclaravalley.direct-ci.net

Organizations & group practices 6

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1891840815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381716",
            "telephone_number": "510-797-1111",
            "fax_number": "510-818-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381716",
            "telephone_number": "510-797-1111",
            "fax_number": "510-818-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGIS",
        "first_name": "COLETTA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G54747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.