Individual provider Active NPI

Karen Gold, NP

  • Nurse Practitioner
  • San Lorenzo, CA
National Provider Identifier
1003023946
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
14779 Issued in CA
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

Updated by the provider on Aug 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181012002641 CA Practitioner - Nurse Practitioner 5496980286 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
448089CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Davis Street Community Center Incorporated CurrentSince Jul 29, 2019 Accepting new patients
La Clinica de la Raza Inc CurrentSince Sep 1, 2018 Accepting new patients
La Clinica de la Raza Inc CurrentSince Sep 1, 2018 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

  • FHIR API: https://api.platform.athenahealth.com/9743/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.