Active NPI
Tamara Fisher
- Orthotist
- Oakland, CA
National Provider Identifier
1073855342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CO 003152
- Practice address
- 2710 Telegraph Ave
Suite 230
Oakland, CA 94612-1770 - Phone
- (510) 333-2771
- NPI assigned
- Mar 25, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CO 003152 | CA | Primary |
Addresses
Primary practice location
2710 Telegraph Ave
Suite 230
Oakland, CA 94612-1770
Mailing address
2710 Telegraph Ave
Suite 230
Oakland, CA 94612-1770
Phone (510) 333-2771
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO 003152 | CA | MD | Orthotist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embrace Orthotics LLC | Orthotist | Current | Accepting new patients |
Locations
2710 Telegraph Ave
Ste 230
Oakland, CA 94612
Phone (510) 338-3400
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1073855342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 TELEGRAPH AVE",
"address_2": "SUITE 230",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121770",
"telephone_number": "510-333-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 TELEGRAPH AVE",
"address_2": "SUITE 230",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121770",
"telephone_number": "510-333-2771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "TAMARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-25",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "CO 003152",
"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 May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.