Active NPI
Maisha Tate
- Other Technician
- Oakland, CA
National Provider Identifier
1104639947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 401 Grand Ave Ste 350
Oakland, CA 94610-5056 - Phone
- (415) 725-3882
- NPI assigned
- Jan 27, 2025
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
401 Grand Ave Ste 350
Oakland, CA 94610-5056
Mailing address
5407 Hillen Dr
Oakland, CA 94619-3253
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1104639947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5407 HILLEN DR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946193253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 GRAND AVE STE 350",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946105056",
"telephone_number": "415-725-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "MAISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-27",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"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 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.