Active NPI
Oscar Saldivar Ureno, B.A.
- Clinical Psychologist
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY61180890
- Practice address
- 9925 International Blvd
Suite 6
Oakland, CA 94603-2558 - Phone
- (510) 562-3734
- NPI assigned
- Nov 1, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | PY61180890 | WA | Primary |
Addresses
Primary practice location
9925 International Blvd
Suite 6
Oakland, CA 94603-2558
Mailing address
9925 International Blvd
Suite 6
Oakland, CA 94603-2558
Phone (510) 562-3734
Other practice location 1
3400 Main St
Vancouver, WA 98663-2223
Phone (360) 696-5044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 NE 87TH Ave
Vancouver, WA 98664-1965
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY61180890 | WA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients |
Locations
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854
3400 Main St
Vancouver, WA 98663
Phone (360) 696-5016
8716 E Mill Plain Blvd
Vancouver, WA 98664
Phone (360) 514-4325
Organizations & group practices 2
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
- Vancouver, WA
- NPI 1609061969
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1376722793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9925 INTERNATIONAL BLVD",
"address_2": "SUITE 6",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946032558",
"telephone_number": "510-562-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9925 INTERNATIONAL BLVD",
"address_2": "SUITE 6",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946032558",
"telephone_number": "510-562-3734"
}
],
"practiceLocations": [
{
"address_1": "3400 Main St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986632223",
"country_code": "US",
"telephone_number": "360-696-5044",
"fax_number": "360-696-5451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "URENO",
"first_name": "OSCAR",
"middle_name": "SALDIVAR",
"name_prefix": "Mr.",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-01",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY61180890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 4, 2022; 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.