Active NPI
Blake Anthony Vonderheide, MD
- Anesthesiology Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A82870
- Practice address
- 1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122 - Phone
- (925) 939-3000
- Fax
- (925) 947-5286
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A82870 | CA | Primary |
Addresses
Primary practice location
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Mailing address
PO Box 7793
San Francisco, CA 94120-7793
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A828700 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Southern Illinois University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13855 E 14TH St
San Leandro, CA 94578-2611
Phone (510) 357-6500
1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800
500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6600
975 S Fairmont Ave
Lodi, CA 95240-5118
Phone (209) 334-3411
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.17 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A82870 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Joaquin | Current | Accepting new patients | |
| San Joaquin Faculty Medical Group | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Alameda Health System | Current | Accepting new patients | |
| Sacsolano Anesthesia Exchange Medical Group, Inc | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Past | Accepting new patients |
| Central Anesthesia Service Exchange Medical Group, Inc. | Anesthesiology | Past | Accepting new patients |
| Alameda Health System | Past | Accepting new patients | |
| Lodi Memorial Hospital Association Inc | Past | Accepting new patients |
Locations
2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700
815 Atlantic Ave
Ste 100
Alameda, CA 94501
Phone (510) 522-6637
15400 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 346-1468
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
3315 Watt Ave
Sacramento, CA 95821
Phone (916) 481-0777
2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245
Organizations & group practices 14
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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Internal Medicine Physician
- French Camp, CA
- NPI 1225063761
-
- General Acute Care Hospital
- French Camp, CA
- NPI 1801830583
-
- Anesthesiology Physician
- Sacramento, CA
- NPI 1720401284
-
- Clinic/Center
- Alameda, CA
- NPI 1124446158
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Anesthesiology Physician
- Lodi, CA
- NPI 1821457300
-
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- Anesthesiology Physician
- Sacramento, CA
- NPI 1194826404
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
-
- General Acute Care Hospital
- Lodi, CA
- NPI 1316938301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1982634564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7793",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941207793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 YGNACIO VALLEY RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983122",
"telephone_number": "925-939-3000",
"fax_number": "925-947-5286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONDERHEIDE",
"first_name": "BLAKE",
"middle_name": "ANTHONY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A82870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A828700",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.