Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Hailemariam Fantaye, MD

Individual provider Obesity Medicine (Family Medicine) Physician · NPI 1336677186

Samuel Hailemariam Fantaye, MD is an Internal Medicine in Castro Valley, California. Qualified in 2004, 22 years ago. Practices with Morehouse Healthcare, Inc, a 158-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

20642 John Dr
Castro Valley, CA 94546-5103
Phone: (510) 857-2559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endocrinology, Diabetes & Metabolism Physician (primary) Taxonomy 207RE0101X · Licence A169452 (CA)
Obesity Medicine (Family Medicine) Physician Taxonomy 207QB0002X · Licence A169452 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A169452 (CA)

Record details

NPI number1336677186
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2017
Last updated in NPPESOctober 8, 2024
Certification dateOctober 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesENDOCRINOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Morehouse Healthcare, Inc. — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount