Creo Abraham
Individual provider Active NPI Homemaker · Oakland, CA
NPI 1265327951 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1265327951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 4946 Stoneridge CT
Oakland, CA 94605-3872 - Phone
- (209) 617-9508
- NPI assigned
- Jun 11, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leap Ahead | Current |
Accepting new patients | |
| Gomedpro LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
4946 Stoneridge CT
Oakland, CA 94605-3872
Mailing address
4946 Stoneridge CT
Oakland, CA 94605-3872
Phone (209) 617-9508
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.