Active NPI
Mohamed Bereteh
- Counselor
- Oakland, CA
National Provider Identifier
1013168582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 411 30TH St
Suite 314
Oakland, CA 94609-3301 - Phone
- (510) 273-8340
- NPI assigned
- Oct 2, 2008
- Last updated
- Oct 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
411 30TH St
Suite 314
Oakland, CA 94609-3301
Mailing address
5674 Stoneridge Dr
Suite 116
Pleasanton, CA 94588-8500
Phone (925) 520-0005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1013168582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5674 STONERIDGE DR",
"address_2": "SUITE 116",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888500",
"telephone_number": "925-520-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 30TH ST",
"address_2": "SUITE 314",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093301",
"telephone_number": "510-273-8340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERETEH",
"first_name": "MOHAMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-02",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"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 Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.