Organization Active NPI

Clinica la Luna Y El Sol Medical Center, Inc

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1013086289
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G54090 Issued in CA
Legal business name
CLINICA LA LUNA Y EL SOL MEDICAL CENTER, INC
Practice address
4333 Piedmont Ave
Oakland, CA 94611-4715
Phone
(510) 594-7400
Fax
(510) 594-7402
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Authorized official

Name
Ms. Debra Joy Turner, RN
Title
Ceo
Phone
(510) 594-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G54090 CA Primary

Addresses

Primary practice location

4333 Piedmont Ave
Oakland, CA 94611-4715

Mailing address

4333 Piedmont Ave
Oakland, CA 94611-4715
Phone (510) 594-7400

Other names 1

  • Clinica la Luna y el Sol Doing business as

National Provider Directory

National Provider Directory

Locations

2700 International Blvd
Ste 20
Oakland, CA 94601
Phone (510) 534-5600

1480 Fruitvale Ave
Oakland, CA 94601
Phone (510) 534-5600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1013086289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 PIEDMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114715",
            "telephone_number": "510-594-7400",
            "fax_number": "510-594-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 PIEDMONT AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946114715",
            "telephone_number": "510-594-7400",
            "fax_number": "510-594-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LA LUNA Y EL SOL MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-594-7400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G54090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica la Luna y el Sol",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 8, 2012; 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.