Alfred David Oppenheim, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G57635 Issued in CA

Practice address

770 Tamalpais Dr
Suite 203
Corte Madera, CA 94925-1700

Phone

(415) 945-8808

Fax

(415) 945-8818

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• James D Taylor MD Inc

  • Internal Medicine Physician
  • San Rafael, CA
  • NPI 1326386897
  NPD (past)
• The Redwoods, a Community of Seniors

  • Skilled Nursing Facility
  • Mill Valley, CA
  • NPI 1205809381
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1023028917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 TAMALPAIS DR",
            "address_2": "SUITE 203",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251700",
            "telephone_number": "415-945-8808",
            "fax_number": "415-945-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 TAMALPAIS DR",
            "address_2": "SUITE 203",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251700",
            "telephone_number": "415-945-8808",
            "fax_number": "415-945-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENHEIM",
        "first_name": "ALFRED",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G57635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin C O'Heeron, PH.D
• John Eugene Obedzinski, MD
• Leeanne Obilor
• Darcy Oikawa, D.C.
• Scott Olson, MD
• Optimal DME Inc
• Greg Orcutt
• Marilyn Orlova-Zitzer IV, FNP, CRNFA
• Pacific Surgery Center
• Aferdita Papraniku, RDN

• Internal Medicine Physician in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.