NPIMap

Individual provider Active NPI

Babak Edraki, MD

  • Gynecology Physician
  • Walnut Creek, CA
National Provider Identifier
1942249388
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G67092 Issued in CA
Practice address
1479 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598
Phone
(925) 627-3440
Fax
(925) 627-3450
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X G67092 CA
Gynecologic Oncology Physician 207VX0201X G67092 CA
Gynecology Physician 207VG0400X G67092 CA Primary

Addresses

Primary practice location

1479 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598

Mailing address

1455 Montego
Ste 100
Walnut Creek, CA 94598
Phone (925) 627-3440

Other identifiers 1

IdentifierTypeStateIssuer
00G670920MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000305 CA Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 3870550759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
George Washington University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

177 La Casa Via
Suite 200E
Walnut Creek, CA 94598-6101
Phone (925) 692-5927

2400 Balfour Rd
Suite 120
Brentwood, CA 94513-4956
Phone (925) 308-8112

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Hernia repair (minimally invasive)1-10
Melanoma (skin cancer) excision1-10
Removal of the uterus52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G67092CAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service CurrentSince Feb 29, 2016 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
John Muir Physician Network CurrentSince Dec 8, 2017 Accepting new patients
Alameda Health System CurrentSince Sep 17, 2013 Accepting new patients
Alameda Health System CurrentSince Sep 17, 2013 Accepting new patients
John Muir Health Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

2675 Pleasant Hill Rd
Pleasant Hill, CA 94523
Phone (510) 817-2113

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

177 La Casa Via
Ste 200AD
Walnut Creek, CA 94598

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1455 Montego
Ste 100
Walnut Creek, CA 94598
Phone (925) 627-3440

1479 Ygnacio Valley Rd
Ste 100
Walnut Creek, CA 94598
Phone (925) 627-3440

Interoperability endpoints

  • Direct secure messaging: bedraki18162@ehr.johnmuirhealth.com

Organizations & group practices 9

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1942249388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 MONTEGO",
            "address_2": "STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-627-3440",
            "fax_number": "925-627-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 YGNACIO VALLEY RD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-627-3440",
            "fax_number": "925-627-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDRAKI",
        "first_name": "BABAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "CA",
            "license": "G67092",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "CA",
            "license": "G67092",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G67092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G670920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.