Active NPI
Larry U Ozowara, MD
- Psychiatry Physician
- Berkeley, CA
National Provider Identifier
1295046407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A144182
- Practice address
- 2001 Dwight Way Ste 4190
Berkeley, CA 94704-2608 - Phone
- (510) 204-4635
- Fax
- (510) 204-3060
- NPI assigned
- Jun 23, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A144182 | CA | Primary |
Addresses
Primary practice location
2001 Dwight Way Ste 4190
Berkeley, CA 94704-2608
Mailing address
PO Box 1595
Lafayette, CA 94549-1595
Phone (925) 940-8395
Other practice location 1
1051 Riverside Dr
89
New York, NY 10032-1007
Phone (646) 774-6395
Other practice location 2
300 Medical Plz Ste 2200
Los Angeles, CA 90095-1007
Phone (310) 206-3729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A144182 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1295046407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1595",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945491595",
"telephone_number": "925-940-8395",
"fax_number": "925-304-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 DWIGHT WAY STE 4190",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042608",
"telephone_number": "510-204-4635",
"fax_number": "510-204-3060"
}
],
"practiceLocations": [
{
"address_1": "1051 Riverside Dr",
"address_2": "89",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100321007",
"country_code": "US",
"telephone_number": "646-774-6395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Medical Plz Ste 2200",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900951007",
"country_code": "US",
"telephone_number": "310-206-3729",
"fax_number": "310-206-3729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OZOWARA",
"first_name": "LARRY",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-23",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A144182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.