Active NPI
Oksana Sytova, N.P.
- Nurse Practitioner
- Greenbrae, CA
National Provider Identifier
1407183858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 19067
- Practice address
- 350 Bon Air Ctr
Suite 200
Greenbrae, CA 94904-3000 - Phone
- (415) 578-3095
- Fax
- (415) 291-0489
- NPI assigned
- Nov 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 19067 | CA | Primary |
Addresses
Primary practice location
350 Bon Air Ctr
Suite 200
Greenbrae, CA 94904-3000
Mailing address
130 Sutter St FL 2
San Francisco, CA 94104-4009
Phone (415) 658-6791
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421020800000",
"number": "1407183858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SUTTER ST FL 2",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941044009",
"telephone_number": "415-658-6791",
"fax_number": "415-520-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BON AIR CTR",
"address_2": "SUITE 200",
"city": "GREENBRAE",
"state": "CA",
"postal_code": "949043000",
"telephone_number": "415-578-3095",
"fax_number": "415-291-0489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYTOVA",
"first_name": "OKSANA",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2015-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "19067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.