Active NPI
Ferdinand Isumbelo
- Rehabilitation Practitioner
- Oakland, CA
National Provider Identifier
1376010884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 8945 Golf Links Rd
Oakland, CA 94605-4124 - Phone
- (510) 317-1444
- NPI assigned
- Nov 1, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | CA | ||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
8945 Golf Links Rd
Oakland, CA 94605-4124
Mailing address
8945 Golf Links Rd
Oakland, CA 94605-4124
Phone (510) 317-1444
Other practice location 1
1925 Garden Ct
Antioch, CA 94509-2865
Phone (925) 778-4749
Other practice location 2
390 40th St
Oakland, CA 94609-2633
Phone (510) 613-0330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376010884 | Medicaid | CA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A | ||
| CONNECT URL | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lighthouse Mentoring Center | Past | Accepting new patients | |
| Progress Foundation | Past | Accepting new patients | |
| Progress Foundation | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Illness Community Based Residential Treatment Facility
- San Francisco, CA
- NPI 1184788184
-
- Case Management Agency
- San Francisco, CA
- NPI 1902960974
-
- Mental Illness Community Based Residential Treatment Facility
- Antioch, CA
- NPI 1891361119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1376010884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8945 GOLF LINKS RD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946054124",
"telephone_number": "510-317-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8945 GOLF LINKS RD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946054124",
"telephone_number": "510-317-1444"
}
],
"practiceLocations": [
{
"address_1": "1925 Garden Ct",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "CA",
"postal_code": "945092865",
"country_code": "US",
"telephone_number": "925-778-4749",
"fax_number": "925-778-4241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "390 40th St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946092633",
"country_code": "US",
"telephone_number": "510-613-0330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISUMBELO",
"first_name": "FERDINAND",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-01",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376010884",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "390 40th St",
"city": "Oakland",
"state": "CA",
"country_code": "US",
"postal_code": "946092633",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "390 40th St",
"city": "Oakland",
"state": "CA",
"country_code": "US",
"postal_code": "946092633",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.