Individual provider Active NPI

Rita Lafaye Davis Marten, F.N.P.

  • Family Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1356406649
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
622239 Issued in CA
Practice address
700 Adeline Street
West Oakland Health Council
Oakland, CA 94542
Phone
(510) 835-9610
NPI assigned
Dec 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 622239 CA Primary

Addresses

Primary practice location

700 Adeline Street
West Oakland Health Council
Oakland, CA 94542

Mailing address

27096 Fielding Drive
Hayward, CA 94542
Phone (510) 551-5894

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180418002241 CA Practitioner - Nurse Practitioner 1951664283 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15468CAMDSpeech-Language Pathologist
622239CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The West Oakland Health Council CurrentSince Mar 23, 2018 Accepting new patients
The West Oakland Health Council CurrentSince Mar 23, 2018 Accepting new patients
The West Oakland Health Council Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
The West Oakland Health Council Past Accepting new patients

Locations

10615 International Blvd
Oakland, CA 94603
Phone (510) 568-9230

700 Adeline St
Oakland, CA 94607
Phone (510) 835-9610

7450 International Blvd
Oakland, CA 94621
Phone (510) 430-9401

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356406649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27096 FIELDING DRIVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94542",
            "telephone_number": "510-551-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ADELINE STREET",
            "address_2": "WEST OAKLAND HEALTH COUNCIL",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94542",
            "telephone_number": "510-835-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS MARTEN",
        "first_name": "RITA",
        "middle_name": "LAFAYE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "622239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.