Active NPI
Maria Ofreneo, M.D.
- Pediatric Pulmonology Physician
- Oakland, CA
National Provider Identifier
1124133566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- A54290
- Practice address
- 747 52ND St
Suite 5409
Oakland, CA 94609-1809 - Phone
- (510) 428-3305
- Fax
- (510) 597-7154
- NPI assigned
- Aug 19, 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 |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | A54290 | CA | Primary |
Addresses
Primary practice location
747 52ND St
Suite 5409
Oakland, CA 94609-1809
Mailing address
747 52ND St
Suite 5409
Oakland, CA 94609-1809
Phone (510) 428-3305
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100508835 | Medicaid | NV | |
| 00A542900 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Pediatric Pulmonary Medical Group, Inc | Pediatric Pulmonology | Past | Accepting new patients |
Interoperability endpoints
- mofreneo11241@santaclaravalley.direct-ci.net
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.
-
- Pediatric Pulmonology Physician
- Oakland, CA
- NPI 1568577997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1124133566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 52ND ST",
"address_2": "SUITE 5409",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "510-428-3305",
"fax_number": "510-597-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 52ND ST",
"address_2": "SUITE 5409",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "510-428-3305",
"fax_number": "510-597-7154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFRENEO",
"first_name": "MARIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "CA",
"license": "A54290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100508835",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A542900",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.