Individual provider Active NPI

Efe Oghoghorie

  • Non-emergency Medical Transport (VAN)
  • Oakland, CA
National Provider Identifier
1265000277
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
431 30TH St Ste 130B
Oakland, CA 94609-3307
Phone
(510) 969-7210
NPI assigned
Jun 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

431 30TH St Ste 130B
Oakland, CA 94609-3307

Mailing address

431 30TH St Ste 130B
Oakland, CA 94609-3307
Phone (510) 969-7210

Other identifiers 2

IdentifierTypeStateIssuer
C2561410OtherCAMEDICAL TRANSPORTATION
C2561410MedicaidCA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Milbrad Medical Transportation Non-Emergency Medical Transport (Van) CurrentSince Jun 2, 2024 Accepting new patients
Milbrad Medical Transportation Non-Emergency Medical Transport (Van) PastSince Jun 1, 2021 Accepting new patients

Locations

431 30th St
Ste 130B
Oakland, CA 94609
Phone (510) 969-7210

Organizations & group practices 2

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1265000277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 30TH ST STE 130B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093307",
            "telephone_number": "510-969-7210",
            "fax_number": "510-562-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 30TH ST STE 130B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093307",
            "telephone_number": "510-969-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGHOGHORIE",
        "first_name": "EFE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TRANSPORTATION",
            "identifier": "C2561410",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C2561410",
            "state": "CA"
        }
    ],
    "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 Jan 30, 2023; 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.