Sergio Abundis
Individual provider Active NPI Rehabilitation Practitioner · Oakland, CA
NPI 1316699135 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1316699135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rehabilitation Practitioner 225400000X
- Practice address
- 150 Linden St
Oakland, CA 94607-2538 - Phone
- (510) 273-4700
- NPI assigned
- Jan 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | Yes |
Addresses
Primary practice location
150 Linden St
Oakland, CA 94607-2538
Mailing address
1266 14TH St
Oakland, CA 94607-2247
Phone (510) 273-4700
Other providers in Oakland, CA
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- Shereen Abu Bader
- Bilal Abu-Alrub
- Ahmad Abulhasan
- Isabella Abushacra
- Academy of Chinese Culture & Health Sciences
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- Access Oaktown Inc
- Access Oaktown Inc
All providers in Oakland, CA · Rehabilitation Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.