Active NPI
Karen Gold, NP
- Nurse Practitioner
- San Lorenzo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 14779
- Practice address
- 50 E. Lwewlling Blvd.
San Lorenzo, CA 94580-1732 - Phone
- (510) 317-3167
- Fax
- (510) 276-5483
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 448089 | CA | |
| Nurse Practitioner | 363L00000X | 14779 | CA | Primary |
Addresses
Primary practice location
50 E. Lwewlling Blvd.
San Lorenzo, CA 94580-1732
Mailing address
P.O. Box 22210
Oakland, CA 94623-2210
Phone (510) 535-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 448089 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Davis Street Community Center Incorporated | Current | Accepting new patients | |
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| La Clinica de la Raza, Inc. | Past | Accepting new patients |
Locations
3451 E 12th St
Fl 2
Oakland, CA 94601
Phone (510) 535-3319
1515 Fruitvale Ave
Oakland, CA 94601
Phone (510) 535-6300
1030 International Blvd
Oakland, CA 94606
Phone (510) 238-5400
2021 Main St
Oakley, CA 94561
Phone (925) 776-8200
2240 Gladstone Dr
Ste 4
Pittsburg, CA 94565
Phone (925) 431-1230
3081 Teagarden St
San Leandro, CA 94577
Phone (510) 347-4620
210 Hospital Dr
Vallejo, CA 94589
Phone (707) 645-7316
220 Hospital Dr
Vallejo, CA 94589
Phone (707) 641-1900
Interoperability endpoints
- https://api.platform.athenahealth.com/9743/brand/1/csg/1/fhir/r4
- kgold306381@direct.ochin.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Concord, CA
- NPI 1538181482
-
- Federally Qualified Health Center (FQHC)
- San Leandro, CA
- NPI 1215358924
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1144336181
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1346262292
-
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1427070374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1003023946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 22210",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946232210",
"telephone_number": "510-535-4000",
"fax_number": "510-535-4225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E. LWEWLLING BLVD.",
"city": "SAN LORENZO",
"state": "CA",
"postal_code": "945801732",
"telephone_number": "510-317-3167",
"fax_number": "510-276-5483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "KAREN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "448089",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "14779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Lorenzo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.