Active NPI
Renee Songer
- Physical Therapist
- Oakland, CA
National Provider Identifier
1083724710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3718 Grand Ave
Ste 15
Oakland, CA 94610 - Phone
- (650) 542-0189
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3718 Grand Ave
Ste 15
Oakland, CA 94610
Mailing address
325 Sharon Park Dr
# 620
Menlo Park, CA 94025-6805
Phone (213) 725-4438
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27718 | Other | CA | LICENSE # |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1083724710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 SHARON PARK DR",
"address_2": "# 620",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940256805",
"telephone_number": "213-725-4438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3718 GRAND AVE",
"address_2": "STE 15",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94610",
"telephone_number": "650-542-0189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONGER",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "27718",
"state": "CA"
}
],
"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 Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.