Active NPI
Efe Oghoghorie
- Non-emergency Medical Transport (VAN)
- Oakland, CA
National Provider Identifier
1265000277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C2561410 | Other | CA | MEDICAL TRANSPORTATION |
| C2561410 | Medicaid | CA |
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milbrad Medical Transportation | Non-Emergency Medical Transport (Van) | Current | Accepting new patients |
| Milbrad Medical Transportation | Non-Emergency Medical Transport (Van) | Past | 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.
-
- Non-emergency Medical Transport (VAN)
- Oakland, CA
- NPI 1003656240
-
- Non-emergency Medical Transport (VAN)
- Oakland, CA
- NPI 1215231105
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.