Active NPI
Deborah Dean, M.D.
- Specialist
- Oakland, CA
National Provider Identifier
1104200559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G52200
- Practice address
- 5700 Martin Luther King Jr Way
Oakland, CA 94609-1673 - Phone
- (510) 450-7655
- Fax
- (510) 450-7910
- NPI assigned
- Jul 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | G52200 | CA | Primary |
Addresses
Primary practice location
5700 Martin Luther King Jr Way
Oakland, CA 94609-1673
Mailing address
5700 Martin Luther King Jr Way
Oakland, CA 94609-1673
Phone (510) 450-7655
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G52200 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1104200559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 MARTIN LUTHER KING JR WAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091673",
"telephone_number": "510-450-7655",
"fax_number": "510-450-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 MARTIN LUTHER KING JR WAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091673",
"telephone_number": "510-450-7655",
"fax_number": "510-450-7910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G52200",
"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 Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.