Individual provider Active NPI

Michael D Halperin, MD

  • Anesthesiology Physician
  • San Leandro, CA
National Provider Identifier
1932145018
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G22538 Issued in CA
Practice address
433 Estudillo Ave Ste 205
San Leandro, CA 94577-4915
Phone
(510) 351-8455
Fax
(510) 351-8566
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X G22538 CA
Anesthesiology Physician 207L00000X G22538 CA Primary

Addresses

Primary practice location

433 Estudillo Ave Ste 205
San Leandro, CA 94577-4915

Mailing address

1901 Skycrest Dr.
Ste 2
Walnut Creek, CA 94595-1868
Phone (925) 525-9515

Other practice location 1

333 Gellert Blvd Ste 130
Daly City, CA 94015-2614
Phone (415) 769-5852

Other practice location 2

3 Santa Maria Way
Orinda, CA 94563-2604
Phone (925) 402-2922

Other identifiers 3

IdentifierTypeStateIssuer
350733700OtherCAUS DEPT OF LABOR
050089394OtherCARAILROAD MEDICARE
00G225380OtherCABS OF CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 16, 2015 through Dec 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22538CAMDClinical Social Worker
G22538CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Pain Consultants, Inc. Pain Medicine CurrentSince Feb 16, 2020 Accepting new patients
East Bay Anesthesiology Medical Group, Inc Anesthesiology Past Accepting new patients
Jade Health & Wellness Inc PastSince Jan 12, 2020 Accepting new patients

Locations

333 Gellert Blvd
Ste 130
Daly City, CA 94015
Phone (415) 769-5852

3 Santa Maria Way
Orinda, CA 94563
Phone (510) 253-1414

433 Estudillo Ave
Ste 205
San Leandro, CA 94577
Phone (510) 351-8455

Interoperability endpoints

  • Direct secure messaging: mhalperin161247@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1932145018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SKYCREST DR.",
            "address_2": "STE 2",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945951868",
            "telephone_number": "925-525-9515",
            "fax_number": "925-482-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 ESTUDILLO AVE STE 205",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774915",
            "telephone_number": "510-351-8455",
            "fax_number": "510-351-8566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Gellert Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152614",
            "country_code": "US",
            "telephone_number": "415-769-5852",
            "fax_number": "415-769-5865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Santa Maria Way",
            "address_purpose": "LOCATION",
            "city": "Orinda",
            "state": "CA",
            "postal_code": "945632604",
            "country_code": "US",
            "telephone_number": "925-402-2922",
            "fax_number": "925-402-2923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALPERIN",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G22538",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G22538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "350733700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050089394",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF CA",
            "identifier": "00G225380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.