CARL GERARD ODDO – Addiction (Substance Use Disorder) Psychologist, NPI 1154472611

CARL GERARD ODDO is a healthcare provider. based in San francisco, California. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. PSY 15852 (CA). The NPI Number for CARL GERARD ODDO is 1154472611

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
CARL GERARD ODDO
NPI
1154472611
Phone
(415) 681-7024
Address
528 LAWTON ST
Enumeration Date
12 January 2007
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7076511000
Graduation Year
1995 (31 years ago)
PAC ID
7810123015
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20131118000951
Address ID
CA945892441VA975XXDRXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,473 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for CARL GERARD ODDO

  • 528, Lawton Street, Golden Gate Heights, Inner Sunset, Sunset District, San Francisco, California, 94122, United States

    SAN FRANCISCO, CA 941223631

    Phone: (415) 681-7024

    Type: Mailing

  • South Broadway, Walnut Creek, Contra Costa County, California, 94595, United States

    WALNUT CREEK, CA 945965294

    Phone: (925) 295-5423

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-18

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131118000951IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

What identifier follows CARL GERARD ODDO across health systems?
The NPI 1154472611 uniquely identifies CARL GERARD ODDO in U.S. healthcare data.
Does the public listing show CARL GERARD ODDO as active?
CARL GERARD ODDO's NPI record reflects an active status in NPPES.
What type of care does CARL GERARD ODDO provide?
CARL GERARD ODDO's profile centers on Addiction (Substance Use Disorder) Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to CARL GERARD ODDO?
CARL GERARD ODDO shows a connection to San Francisco, California in registry-derived data.
Who maintains CARL GERARD ODDO's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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