Individual provider Active NPI

Melissa Goralka, PA

  • Physician Assistant
  • Castro Valley, CA
National Provider Identifier
1891878740
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13050 Issued in CA
Practice address
20130 Lake Chabot Blvd,
Ste 201
Castro Valley, CA 94546
Phone
(510) 204-2351
Fax
(510) 886-8531
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13050 CA Primary

Addresses

Primary practice location

20130 Lake Chabot Blvd,
Ste 201
Castro Valley, CA 94546

Mailing address

3687 Mt. Diablo Blvd,
Ste 200
Lafayette, CA 94549
Phone (925) 962-6600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070224000174 CA Practitioner - Physician Assistant 8426150277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 886-3400

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 727-3256

20130 Lake Chabot Rd
Castro Valley, CA 94546-5340

3100 Telegraph Ave
Oakland, CA 94609-3239
Phone (510) 204-8290

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

350 30TH St
Suite 100
Oakland, CA 94609-3422
Phone (510) 204-8290

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Concord, CA, CCN 057004
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13050CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Community Medical Centers Inc Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

20101 Lake Chabot Rd
Fl 3
Castro Valley, CA 94546
Phone (510) 886-3400

20130 Lake Chabot Rd
Ste 201
Castro Valley, CA 94546
Phone (510) 886-3400

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180

Interoperability endpoints

  • Direct secure messaging: mgoralkapac30052@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1891878740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 MT. DIABLO BLVD,",
            "address_2": "STE 200",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "94549",
            "telephone_number": "925-962-6600",
            "fax_number": "925-284-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20130 LAKE CHABOT BLVD,",
            "address_2": "STE 201",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "94546",
            "telephone_number": "510-204-2351",
            "fax_number": "510-886-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORALKA",
        "first_name": "MELISSA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.