Active NPI
Lula Tsegay, DDS
- Dentist
- Oakland, CA
National Provider Identifier
1255311346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 42101
- Practice address
- 2647 International Blvd
Ste 101
Oakland, CA 94601 - Phone
- (510) 536-3300
- Fax
- (510) 536-2286
- NPI assigned
- Jan 17, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 42101 | CA | Primary |
Addresses
Primary practice location
2647 International Blvd
Ste 101
Oakland, CA 94601
Mailing address
2647 International Blvd
Ste 101
Oakland, CA 94601
Phone (510) 536-3300
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161111000217 | CA | Order and Referring Only - Dentist | 2567741705 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42101 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255311346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 INTERNATIONAL BLVD",
"address_2": "STE 101",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94601",
"telephone_number": "510-536-3300",
"fax_number": "510-536-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2647 INTERNATIONAL BLVD",
"address_2": "STE 101",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94601",
"telephone_number": "510-536-3300",
"fax_number": "510-536-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSEGAY",
"first_name": "LULA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "42101",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.