Egis Oakley, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95025606 Issued in CA

Practice address

920 Sutter St
San Diego, CA 92103-2820

Phone

(313) 443-8646

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Egis Dervishi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1063265320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SUTTER ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032820",
            "telephone_number": "313-443-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SUTTER ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032820",
            "telephone_number": "313-443-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKLEY",
        "first_name": "EGIS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EGIS",
            "last_name": "DERVISHI",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terry Gerard O'Toole, D.D.S.
• Edward Magallona Oades, LVN
• Sara Oak, DDS
• Jamal Raheem Oakes Jr.
• Lindsey Ann Oakes, L.M., C.P.M.
• Luke Oakley, M.D.
• Madeline Oakley
• Robert R. Oakley, MD
• Taylor Oakley
• Steve Oas, SLP

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.