Edward Verceles Jr., D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A12997 Issued in CA

Practice address

411 30TH St Ste 314
Oakland, CA 94609-3312

Phone

(530) 400-2463

NPI assigned

Jun 11, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: edward.verceles@3856.securemail.prognocis.com

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1215258371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SAINT GERMAIN LN",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231135",
            "telephone_number": "530-400-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 30TH ST STE 314",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093312",
            "telephone_number": "530-400-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERCELES",
        "first_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A12997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Vera
• Audrey Vera, MFTI
• Luzmaria Vera
• Mariela Vera
• Marylou Verano
• Jacqueline Verdin
• Maria Elena Verdin, LMFT
• Josefine Verdoner, M.F.T.
• Barbara Verdugo Garcia
• Lana Verkuil, MD

• General Practice Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.