Active NPI
Michaela Preston, ACSW
- Student in an Organized Health Care Education/Training Program
- Oakland, CA
National Provider Identifier
1295370708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 91848
- Practice address
- 2540 Charleston St
Oakland, CA 94602-2508 - Phone
- (510) 268-3770
- NPI assigned
- Nov 8, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 91848 | CA | Primary |
Addresses
Primary practice location
2540 Charleston St
Oakland, CA 94602-2508
Mailing address
303 Van Buren Ave
Oakland, CA 94610-4340
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michaela.preston@ebac.org | Direct | East Bay Agency for Children |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91848 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1295370708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 VAN BUREN AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 CHARLESTON ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946022508",
"telephone_number": "510-268-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "MICHAELA",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "91848",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michaela.preston@ebac.org",
"affiliation": "Y",
"endpointDescription": "Agency Email",
"affiliationName": "East Bay Agency for Children",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/a",
"address_1": "2540 Charleston St",
"city": "Oakland",
"state": "CA",
"country_code": "US",
"postal_code": "946022508",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 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.