Organization Active NPI

Amcare Medical Group, Inc.

  • Family Medicine Physician
  • Hayward, CA
National Provider Identifier
1972744282
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMCARE MEDICAL GROUP, INC.
Practice address
27206 Calaroga Ave Ste 210
Hayward, CA 94545-4300
Phone
(510) 619-9686
Fax
(510) 280-9769
NPI assigned
Mar 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Mr. Sivesh Pradhaan
Title
Office Manager
Phone
(510) 619-9686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

27206 Calaroga Ave Ste 210
Hayward, CA 94545-4300

Mailing address

27206 Calaroga Ave Ste 210
Hayward, CA 94545-4300
Phone (510) 619-9686

Other practice location 1

1900 Mowry Ave Ste 301
Fremont, CA 94538-1722
Phone (510) 619-9686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090825000154 CA Part B Supplier - Clinic/Group Practice 6406900570 Receives reassigned benefits from 5 practitioners
Practice locations: Hayward, CA

National Provider Directory

National Provider Directory

Locations

1900 Mowry Ave
Ste 301
Fremont, CA 94538
Phone (510) 791-2442

27206 Calaroga Ave
Ste 210
Hayward, CA 94545
Phone (510) 619-9686

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1972744282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE STE 210",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454300",
            "telephone_number": "510-619-9686",
            "fax_number": "510-280-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27206 CALAROGA AVE STE 210",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945454300",
            "telephone_number": "510-619-9686",
            "fax_number": "510-280-9769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Mowry Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381722",
            "country_code": "US",
            "telephone_number": "510-619-9686",
            "fax_number": "510-280-9769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMCARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "PRADHAAN",
        "authorized_official_first_name": "SIVESH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "510-619-9686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.