Raul A Gentini, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A110785 Issued in CA

Practice address

27206 Calaroga Ave
Suite 207
Hayward, CA 94545-4300

Phone

(510) 887-4711

Fax

(510) 887-2470

NPI assigned

Sep 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: raul.gentini.1@28334.direct.athenahealth.com

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.

• Pediatric and Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1316044522
  NPD (past)
• Pediatric and Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Sherman Oaks, CA
  • NPI 1982075107
  NPD (past)

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1942496617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE",
            "address_2": "SUITE 207",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454300",
            "telephone_number": "510-887-4711",
            "fax_number": "510-887-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE",
            "address_2": "SUITE 207",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454300",
            "telephone_number": "510-887-4711",
            "fax_number": "510-887-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTINI",
        "first_name": "RAUL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-17",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A110785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Gee, LCSW
• Jack Gemmer
• Genesis Corporation
• Genesis Corporation
• Elliott Geneste de Besme
• Gentle Heart Care Services
• Darrin Gentry Jr
• Isabella Grace Genzale
• Adrianna N George
• Eren George

• Family Medicine Physician in Hayward, CA
• Providers in Hayward, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.