Individual provider Active NPI

Concepcion Elizabeth Segarra, NPF

  • Pediatric Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1144432709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NPF6088 Issued in CA
Practice address
3451 E 12TH St
Oakland, CA 94601-3425
Phone
(510) 535-3600
Fax
(510) 535-4247
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NPF6088 CA Primary

Addresses

Primary practice location

3451 E 12TH St
Oakland, CA 94601-3425

Mailing address

1515 Fruitvale Ave
Oakland, CA 94601-2322
Phone (510) 535-4000

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
I20230420000333 CA Practitioner - Nurse Practitioner 0244695559 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NPF6088CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Health Medical Foundation CurrentSince Jan 13, 2023 Accepting new patients
Mission Area Health Associates Current Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

3451 E 12th St
Oakland, CA 94601
Phone (510) 535-3319

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

240 Shotwell St
San Francisco, CA 94110
Phone (415) 552-1013

3838 California St
Rm 111
San Francisco, CA 94118
Phone (415) 221-6476

1580 Valencia St
Ste 506
San Francisco, CA 94110
Phone (415) 641-6500

Interoperability endpoints

  • Direct secure messaging: bsegarra119467@direct-ucsfmedicalcenter.org
  • Direct secure messaging: csegarra19067@smch.direct-ci.com
  • Direct secure messaging: csegarra574571@direct.ochin.org

Organizations & group practices 3

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144432709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 FRUITVALE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012322",
            "telephone_number": "510-535-4000",
            "fax_number": "510-535-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 E 12TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946013425",
            "telephone_number": "510-535-3600",
            "fax_number": "510-535-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGARRA",
        "first_name": "CONCEPCION",
        "middle_name": "ELIZABETH",
        "credential": "NPF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NPF6088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.