Unknown Individual – Pediatrics Physician, NPI 1912901828
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 3046
OAKLAND, CA 946090046
Phone: (510) 599-6065
Type: Mailing
3055, MacArthur Boulevard, Dimond District, Oakland, Alameda County, California, 94602, United States
OAKLAND, CA 946023211
Phone: (510) 530-1111
Fax: (510) 530-1118
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94609)
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