Organization Active NPI

Isis Health Center, Inc

Doing business as Isis Skin & Body

  • Health Service Clinic/Center
  • Oakland, CA
National Provider Identifier
1295062164
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
A71602 Issued in CA
Legal business name
ISIS HEALTH CENTER, INC
Doing business as
Isis Skin & Body
Practice address
419 30TH St
Suite D
Oakland, CA 94609-3374
Phone
(510) 451-4747
Fax
(510) 451-0570
NPI assigned
Nov 12, 2009
Last updated
Nov 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Dr. Noha Aboelata, MDNPI 1447246293
Title
President/Medical Director
Phone
(510) 451-4747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X A71602 CA Primary

Addresses

Primary practice location

419 30TH St
Suite D
Oakland, CA 94609-3374

Mailing address

419 30TH St
Suite D
Oakland, CA 94609-3374
Phone (510) 451-4747

Other names 1

  • Isis Skin & Body Doing business as

National Provider Directory

National Provider Directory

Locations

419 30th St
Ste D
Oakland, CA 94609
Phone (510) 451-4747

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1295062164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 30TH ST",
            "address_2": "SUITE D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093374",
            "telephone_number": "510-451-4747",
            "fax_number": "510-451-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 30TH ST",
            "address_2": "SUITE D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093374",
            "telephone_number": "510-451-4747",
            "fax_number": "510-451-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISIS HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "ABOELATA",
        "authorized_official_first_name": "NOHA",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "510-451-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A71602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Isis Skin & Body",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 12, 2009; 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.