Organization Active NPI

D Louis M D a Medical Corporation

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1295895068
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G39231 Issued in CA
Legal business name
D LOUIS M D A MEDICAL CORPORATION
Practice address
350 30TH Street
Suite 540
Oakland, CA 94609-3487
Phone
(510) 836-0223
Fax
(510) 836-8791
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Dr. David Louis, M.D.
Title
President
Phone
(510) 836-0223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G39231 CA Primary

Addresses

Primary practice location

350 30TH Street
Suite 540
Oakland, CA 94609-3487

Mailing address

350 30TH Street
Suite 540
Oakland, CA 94609-3487
Phone (510) 836-0223

Other identifiers 2

IdentifierTypeStateIssuer
DE436AOtherCAPTAN (CORPORATION)
01005183OtherCARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

350 30th St
Ste 540
Oakland, CA 94609
Phone (510) 528-0557

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1295895068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 30TH STREET",
            "address_2": "SUITE 540",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093487",
            "telephone_number": "510-836-0223",
            "fax_number": "510-836-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 30TH STREET",
            "address_2": "SUITE 540",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093487",
            "telephone_number": "510-836-0223",
            "fax_number": "510-836-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D LOUIS M D A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "LOUIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-836-0223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G39231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN (CORPORATION)",
            "identifier": "DE436A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "01005183",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "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 Apr 25, 2016; 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.