Individual provider Active NPI

Oxana Dickey, PMHNP

  • Psychiatry Physician
  • Burlingame, CA
National Provider Identifier
1114400215
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
95031739 Issued in CA
Practice address
25 Edwards CT Ste 101
Burlingame, CA 94010-2421
Phone
(415) 857-7877
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 95031739 CA
Child & Adolescent Psychiatry Physician 2084P0804X 95031739 CA
Geriatric Psychiatry Physician 2084P0805X 95031739 CA
Psychiatry Physician 2084P0800X 95031739 CA Primary

Addresses

Primary practice location

25 Edwards CT Ste 101
Burlingame, CA 94010-2421

Mailing address

224 Mastick Ave
San Bruno, CA 94066-4932
Phone (864) 349-7877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324001773 CA Practitioner - Nurse Practitioner 8426570060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Multi-Specialty Medical Clinic IncGroup PAC ID 4284879370, 3 clinicians

Practice addresses (Care Compare)

25 Edwards CT
Suite 101
Burlingame, CA 94010-2421
Phone (415) 596-1151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031739CAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Multi-Specialty Medical Clinic, Inc Psychiatry CurrentSince Jan 1, 2025 Accepting new patients

Locations

25 Edwards Ct
Ste 101
Burlingame, CA 94010
Phone (415) 596-1151

100 S San Mateo Dr
Ste 5184
San Mateo, CA 94401
Phone (415) 596-1151

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1114400215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 MASTICK AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664932",
            "telephone_number": "864-349-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EDWARDS CT STE 101",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940102421",
            "telephone_number": "415-857-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "OXANA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "95031739",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "95031739",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "95031739",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "95031739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.