Active NPI
Pierrette Mimi Poinsett, MD
- Pediatrics Physician
- Oakland, CA
National Provider Identifier
1124249396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A46569
- Practice address
- 3100 Telegraph Ave
2ND Floor
Oakland, CA 94609 - Phone
- (510) 452-5231
- Fax
- (510) 899-8392
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A46569 | CA | Primary |
Addresses
Primary practice location
3100 Telegraph Ave
2ND Floor
Oakland, CA 94609
Mailing address
11875 Dublin Blvd
Suite B125
Dublin, CA 94568
Phone (925) 587-2505
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 |
|---|---|---|---|
| A46569 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayside Medical Group, Inc | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Pleasanton, CA
- NPI 1689633240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124249396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11875 DUBLIN BLVD",
"address_2": "SUITE B125",
"city": "DUBLIN",
"state": "CA",
"postal_code": "94568",
"telephone_number": "925-587-2505",
"fax_number": "925-587-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 TELEGRAPH AVE",
"address_2": "2ND FLOOR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94609",
"telephone_number": "510-452-5231",
"fax_number": "510-899-8392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POINSETT",
"first_name": "PIERRETTE",
"middle_name": "MIMI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A46569",
"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 8, 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.