Individual provider Active NPI

Vanessa Marie Oppenlander, MD

  • Family Medicine Physician
  • Half Moon Bay, CA
National Provider Identifier
1306935739
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A70163 Issued in CA
Practice address
575 Kelly St
Half Moon Bay, CA 94019-1719
Phone
(650) 560-0216
Fax
(650) 295-0397
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A70163 CA Primary

Addresses

Primary practice location

575 Kelly St
Half Moon Bay, CA 94019-1719

Mailing address

575 Kelly St
Half Moon Bay, CA 94019-1719
Phone (650) 560-0216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1306935739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 KELLY ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191719",
            "telephone_number": "650-560-0216",
            "fax_number": "650-295-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 KELLY ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191719",
            "telephone_number": "650-560-0216",
            "fax_number": "650-295-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENLANDER",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A70163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Half Moon Bay, CA

Sources for this page

Verify at the official NPI Registry.