INTERCARE MEDICAL GROUP, INC. (NPI# 1972821494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972821494 |
| Entity Type | Organization |
| Organization Name | INTERCARE MEDICAL GROUP, INC. |
| Practice Address |
5000 Hopyard Rd Suite 100 Pleasanton CA 94588-3348 |
| Practice Telephone | 9259241600 |
| Practice Fax Number | 9259240506 |
| Mailing Telephone | 9259241600 |
| Mailing Fax Number | 9259240506 |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |
| Authorized Official Name | DR. RICHARD D. CARVOLTH (PRESIDENT/CEO) |
| Authorized Official Telephone | 9259241600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5000 HOPYARD RD SUITE 100 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-3348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235188962 | Quantum Plus LLC | Physician Assistant | 5000 Hopyard Rd, Suite 100, Pleasanton, CA 94588-3348 | 2006-05-09 |
| 1114309168 | Southeastern Emergency Physicians of Memphis LLC | Physician Assistant | 5000 Hopyard Rd, Suite 100, Pleasanton, CA 94588-3348 | 2015-06-26 |
| 1255736906 | Becki Jo Ellis | Physical Therapy Assistant | 5000 Hopyard Rd, Pleasanton, CA 94588-3348 | 2014-10-23 |
| 1649692716 | Team Physicians of Northern California Medical Group Inc | Physician Assistant | 5000 Hopyard Rd, Suite 100, Pleasanton, CA 94588-3348 | 2014-01-09 |
| 1073942116 | Team Physicians of Nevada-mandavia PC | Physician Assistant | 5000 Hopyard Rd, Suite 100, Pleasanton, CA 94588-3348 | 2013-11-08 |
| 1538500830 | Oklahoma Emergency Professionals PC | Physician Assistant | 5000 Hopyard Rd, Suite 100, Pleasanton, CA 94588-3348 | 2013-07-15 |
| 1760733208 | Jacqueline Polach | Physician Assistant | 5000 Hopyard Rd, Pleasanton, CA 94588-3348 | 2012-09-24 |
| 1043583487 | Hospitalists of California Medical Group, Inc | Emergency Medicine | 5000 Hopyard Rd, Suite 100, Pleasanton, CA 94588-3348 | 2012-02-15 |
| 1821391269 | Quantum Healthcare Medical Associates of Arizona, PC | Internal Medicine | 5000 Hopyard Rd, Suite 100, Pleasanton, CA 94588-3348 | 2010-12-07 |
| 1518151497 | Roham Vatanparast | Internal Medicine | 5000 Hopyard Rd, Suite 100, Pleasanton, CA 94588-3348 | 2007-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073705356 | Michael Wayne Kurz | Family Medicine | 220 W Goodwin St Ste A, Pleasanton, TX 78064-4119 | 2007-08-10 |
| 1619052271 | Eena Duggal | Family Medicine | 4456 Black Ave Ste 100, Suite 6, Pleasanton, CA 94566-6147 | 2006-10-25 |
| 1669584181 | Thomas Thanh Vuong | Family Medicine | 1240 W Oaklawn Rd, Suite 106, Pleasanton, TX 78064-4300 | 2006-08-31 |
| 1366477051 | Patricia Lane | Family Medicine | 1030 Bensdale Road, Pleasanton, TX 78064 | 2006-07-11 |
| 1255362752 | Gerald Bruce Phillips | Family Medicine | 218 W Goodwin St, Pleasanton, TX 78064-4128 | 2006-07-05 |
| 1518938349 | E Dennis Glafkides | Family Medicine | 1447 Cedarwood Lane, Ste A, Pleasanton, CA 94566 | 2006-01-30 |
| 1982681524 | Cho Cho Lay | Family Medicine | 5925 W Las Positas Blvd, Suite 100, Pleasanton, CA 94588-8537 | 2005-12-26 |
| 1992788087 | Benjamin Scott Zertuche | Family Medicine | 1746 W Goodwin St, Pleasanton, TX 78064-4500 | 2005-11-22 |
| 1619977683 | Jeffrey A Wherry | Family Medicine | 1447 Cedarwood Ln, Suite A, Pleasanton, CA 94566-6175 | 2005-07-29 |
| 1851892699 | Kurzhealth Pllc | Family Medicine | 220 W Goodwin St Ste A, Pleasanton, TX 78064-4119 | 2018-02-27 |
| Find all providers in PLEASANTON | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.