Active NPI
D Louis M D a Medical Corporation
- Family Medicine Physician
- Oakland, CA
National Provider Identifier
1295895068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G39231
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE436A | Other | CA | PTAN (CORPORATION) |
| 01005183 | Other | CA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Nurse
- Oakland, CA
- NPI 1427350834
-
- Family Nurse Practitioner
- Oakland, CA
- NPI 1417102260
-
- Family Medicine Physician
- Berkeley, CA
- NPI 1326234774
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.