Individual provider Active NPI

Daniel Thomas Oberlin, M.D.

  • Urology Physician
  • Berkeley, CA
National Provider Identifier
1184910044
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A149464 Issued in CA
Practice address
2999 Regent St Ste 612
Berkeley, CA 94705-2121
Phone
(510) 848-1727
Fax
(510) 848-8224
NPI assigned
Jun 20, 2011
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 125060125 IL
Urology Physician 208800000X A149464 CA Primary

Addresses

Primary practice location

2999 Regent St Ste 612
Berkeley, CA 94705-2121

Mailing address

2999 Regent St Ste 612
Berkeley, CA 94705-2121
Phone (510) 848-1727

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170626002191 CA Practitioner - Urology 6800178674 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians
Golden Gate Urology IncGroup PAC ID 4284789710, 12 clinicians

Practice addresses (Care Compare)

2186 Geary Blvd
Suite 320
San Francisco, CA 94115-3457
Phone (415) 749-6900

2999 Regent St
Suite 612
Berkeley, CA 94705-2121
Phone (510) 848-1727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A149464CAMDUrology Physician
125060125ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orohealth Corporation a Non Profit Healthcare System CurrentSince Nov 16, 2021 Accepting new patients
Golden Gate Urology Inc Urology CurrentSince Aug 1, 2018 Accepting new patients
Golden Gate Urology Inc Urology CurrentSince Aug 1, 2018 Accepting new patients
San Francisco Urology Med GR Urology Current Accepting new patients
Sonora Community Hospital CurrentSince May 8, 2022 Accepting new patients
Sonora Community Hospital CurrentSince May 8, 2022 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

2999 Regent St
Ste 612
Berkeley, CA 94705
Phone (510) 848-1727

2450 Oro Dam Blvd E
Oroville, CA 95966
Phone (530) 712-2128

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

2100 Webster St
Ste 222
San Francisco, CA 94115
Phone (415) 202-0250

2186 Geary Blvd
Ste 214
San Francisco, CA 94115
Phone (415) 922-3047

690 Guzzi Ln
Ste B
Sonora, CA 95370
Phone (209) 536-5060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: doberlin407186@hisp.ehr.sutterhealth.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1184910044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST STE 612",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052121",
            "telephone_number": "510-848-1727",
            "fax_number": "510-848-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST STE 612",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052121",
            "telephone_number": "510-848-1727",
            "fax_number": "510-848-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERLIN",
        "first_name": "DANIEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "125060125",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A149464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.