NPIMap

Individual provider Active NPI

Vladimir A Titov, MD PHD

  • Internal Medicine Physician
  • San Leandro, CA
National Provider Identifier
1982666905
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A56479 Issued in CA
Practice address
13851 E 14TH St
Suite 305
San Leandro, CA 94578-2631
Phone
(510) 351-1193
Fax
(510) 351-6456
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A56479 CA Primary

Addresses

Primary practice location

13851 E 14TH St
Suite 305
San Leandro, CA 94578-2631

Mailing address

4721 Dallas Ranch Rd
Antioch, CA 94531-8811
Phone (925) 778-0679

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ15328ZOtherCAPTAN
110006522OtherCAPTAN

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
I20040401001835 CA Practitioner - Internal Medicine 6204828809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epic CareGroup PAC ID 5890053094, 54 clinicians

Practice addresses (Care Compare)

13851 E 14TH St
Suite 305
San Leandro, CA 94578-2630
Phone (510) 351-1193

Hospital & facility affiliations

  • BLC Homehealth Inc Home health agency, San Leandro, CA, CCN 053137
  • Best Home Health Providers, Inc Home health agency, Hayward, CA, CCN 059546
  • Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
  • Amedisys Home Health Care Home health agency, Hayward, CA, CCN 557194
  • Amore Home Health Home health agency, Fremont, CA, CCN 059509
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A56479CAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: vtitov111901@ehr.johnmuirhealth.com

Organizations & group practices 1

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1982666905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 DALLAS RANCH RD",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318811",
            "telephone_number": "925-778-0679",
            "fax_number": "925-778-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST",
            "address_2": "SUITE 305",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782631",
            "telephone_number": "510-351-1193",
            "fax_number": "510-351-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITOV",
        "first_name": "VLADIMIR",
        "middle_name": "A",
        "credential": "MD  PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ15328Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "110006522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.