Individual provider Active NPI

John Khade, M.D.

  • General Practice Physician
  • Alameda, CA
National Provider Identifier
1952668063
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C159495 Issued in CA
Practice address
1406 Park St Ste 400
Alameda, CA 94501-4559
Phone
(510) 865-6000
Fax
(510) 865-6066
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 071543 GA
General Practice Physician 208D00000X C159495 CA Primary

Addresses

Primary practice location

1406 Park St Ste 400
Alameda, CA 94501-4559

Mailing address

1803 Moreland Dr
Alameda, CA 94501-1643
Phone (510) 865-6000

Other practice location 1

40910 Fremont Blvd
Fremont, CA 94538-4375
Phone (510) 770-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170515000110 GA Practitioner - General Practice 0547547853 Practice locations: Duluth, GA
I20201118002353 CA Practitioner - General Practice 0547547853 Reassigns benefits to 2 organizations
Practice locations: Alameda, CA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community HealthGroup PAC ID 1658349824, 106 clinicians

Practice addresses (Care Compare)

1860 Mowry Ave
Fremont, CA 94538-1730
Phone (510) 770-8040

2299 Mowry Ave
Suite 3B
Fremont, CA 94538-1621
Phone (510) 770-8040

39500 Liberty St
Fremont, CA 94538-2211
Phone (510) 770-8040

40910 Fremont Blvd
Fremont, CA 94538-4375
Phone (510) 770-8040

5504 Monterey Hwy
San Jose, CA 95138-1529
Phone (408) 729-9700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C159495CAMDGeneral Practice Physician
071543GAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Health CurrentSince Aug 3, 2025 Accepting new patients
John Khade, MD General Practice CurrentSince Dec 1, 2020 Accepting new patients
Balaji Medical Corporation CurrentSince Nov 14, 2020 Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

1406 Park St
Ste 100
Alameda, CA 94501
Phone (510) 220-3294

1406 Park St
Ste 400
Alameda, CA 94501
Phone (510) 637-8414

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

1860 Mowry Ave
Fremont, CA 94538
Phone (510) 284-4140

2299 Mowry Ave
Ste 3B
Fremont, CA 94538
Phone (510) 770-8133

Interoperability endpoints

  • Direct secure messaging: jkhade640670@direct.ochin.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1952668063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 MORELAND DR",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011643",
            "telephone_number": "510-865-6000",
            "fax_number": "510-865-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 PARK ST STE 400",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014559",
            "telephone_number": "510-865-6000",
            "fax_number": "510-865-6066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40910 Fremont Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945384375",
            "country_code": "US",
            "telephone_number": "510-770-8040",
            "fax_number": "510-770-8141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHADE",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "071543",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C159495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

Verify at the official NPI Registry.