Organization Active NPI

Oakland Medical Group, Inc.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1003924432
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OAKLAND MEDICAL GROUP, INC.
Practice address
424 28TH St
Oakland, CA 94609-3603
Phone
(510) 452-4824
Fax
(510) 465-4503
NPI assigned
Aug 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Ms. Fran S Chittenden
Title
Practice Administrator
Phone
(510) 452-4824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

424 28TH St
Oakland, CA 94609-3603

Mailing address

424 28TH St
Oakland, CA 94609-3603
Phone (510) 452-4824

National Provider Directory

National Provider Directory

Locations

424 28th St
Oakland, CA 94609
Phone (510) 452-3671

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1003924432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 28TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093603",
            "telephone_number": "510-452-4824",
            "fax_number": "510-465-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 28TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093603",
            "telephone_number": "510-452-4824",
            "fax_number": "510-465-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "CHITTENDEN",
        "authorized_official_first_name": "FRAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "510-452-4824",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.