Organization Active NPI

Oak & Stone Management

  • Nurse Practitioner
  • Lakeside, CA
National Provider Identifier
1295554699
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
OAK & STONE MANAGEMENT
Practice address
9015 Emerald Grove Ave
Lakeside, CA 92040-3603
Phone
(916) 872-5895
NPI assigned
Oct 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Brandi Terra
Title
Owner
Phone
(916) 872-5895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

9015 Emerald Grove Ave
Lakeside, CA 92040-3603

Mailing address

9015 Emerald Grove Ave
Lakeside, CA 92040-3603
Phone (916) 872-5895

Other names 1

  • Brandi Terra Nurse Practitioner Corp Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1295554699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 EMERALD GROVE AVE",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920403603",
            "telephone_number": "916-872-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 EMERALD GROVE AVE",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920403603",
            "telephone_number": "916-872-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK & STONE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "TERRA",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-872-5895"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandi Terra Nurse Practitioner Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lakeside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.