Active NPI
Golaun Odabaei, M.D
- Nephrology Physician
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A116440
- Practice address
- 2905 Telegraph Ave
Berkeley, CA 94705-2017 - Phone
- (510) 841-4525
- Fax
- (510) 848-9970
- NPI assigned
- Jun 1, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A116440 | CA | |
| Nephrology Physician | 207RN0300X | A116440 | CA | Primary |
Addresses
Primary practice location
2905 Telegraph Ave
Berkeley, CA 94705-2017
Mailing address
2905 Telegraph Ave
Berkeley, CA 94705-2017
Phone (510) 841-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6955 Foothill Blvd
Suite 200
Oakland, CA 94605-2426
Phone (510) 567-5704
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A116440 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Nephrology Medical Group, Inc. | Nephrology | Current | Accepting new patients |
| Alameda Health System | Current | Accepting new patients | |
| East Bay Nephrology Medical Group, Inc. | Nephrology | Current | Accepting new patients |
| California Pacific Medical Group, Inc. | Past | Accepting new patients | |
| Alameda Health System | Past | Accepting new patients |
Locations
2905 Telegraph Ave
Berkeley, CA 94705
Phone (510) 841-0411
14400 Olympic Dr
Clearlake, CA 95422
Phone (707) 253-7005
6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600
6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700
350 30th St
Ste 311
Oakland, CA 94609
Phone (510) 465-0941
3012 Summit St
#D
Oakland, CA 94609
Phone (510) 251-1002
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
127 Hospital Dr
Ste 204
Vallejo, CA 94589
Phone (707) 642-7510
125 Hospital Dr
Vallejo, CA 94589
Phone (707) 642-7510
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- godabaei14435@alamedahs.direct-ci.com
- godabaei232281@hisp.ehr.sutterhealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Nephrology Physician
- Vallejo, CA
- NPI 1184719809
-
- Nephrology Physician
- Berkeley, CA
- NPI 1871699074
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
dba Brown & Toland Medical Group
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1083815872
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1700087590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455321600000",
"number": "1306072640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052017",
"telephone_number": "510-841-4525",
"fax_number": "510-848-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052017",
"telephone_number": "510-841-4525",
"fax_number": "510-848-9970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODABAEI",
"first_name": "GOLAUN",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-01",
"last_updated": "2016-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A116440",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A116440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
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- Lilia R Oceguera, M.D.
- Maria De Jesus Ochoa Murillo, RN, IBCLC
- Denise Michelle Ochoa, NP-C
- Natalia Ochoa
- Beth F Oelberger, MFT
- Office of Dr. Pakravan DDS, Inc (Campos Dental Care)
- Chiara F. Ogan
- Alexa Oghobaase, MFT
- Obianauju Vivian Ogu
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.