Anna Victoria Ekstrom, D.O., M.P.H.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

14076 Issued in CA

Practice address

2299 Mowry Ave Ste 2a
Fremont, CA 94538-1638

Phone

(510) 362-7503

NPI assigned

Apr 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Medical CenterGroup PAC ID 3779471446, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aekstrom243571@direct.ochin.org
• Direct secure messaging: anna.ekstrom.1@5641.direct.athenahealth.com

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.

• Alliance Medical Center

  • Federally Qualified Health Center (FQHC)
  • Healdsburg, CA
  • NPI 1750399796
  Medicare reassignment Care Compare group NPD
• LPCH Medical Group Div of Lucile

  • Children's Hospital
  • Palo Alto, CA
  • NPI 1417907940

  Pediatrics

  Medicare reassignment NPD
• Alliance Medical Center

  • Optometrist
  • Healdsburg, CA
  • NPI 1588497168
  NPD

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1407199912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVE STE 2A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381638",
            "telephone_number": "510-362-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVE STE 2A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381638",
            "telephone_number": "510-362-7503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1381 University St",
            "address_purpose": "LOCATION",
            "city": "Healdsburg",
            "state": "CA",
            "postal_code": "954483314",
            "country_code": "US",
            "telephone_number": "707-433-5494",
            "fax_number": "707-385-2157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKSTROM",
        "first_name": "ANNA",
        "middle_name": "VICTORIA",
        "credential": "D.O., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "14076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Chicchon DDS Inc
• Thomas Irwin Efird, M.D.
• Bogdan Silviu Eftimie, M.D.
• Eldan B Eichbaum, MD
• Christine Eicher Raymond, FNP-BC, MSN, RN, OCN
• Mohamed Sayed El-Shimey, D.C
• Shafaa Eldesouky Jr.
• Christine T. Eleria, ATC
• Lilly R Elfers
• Kathy Elgohary

• Pediatrics Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.

Verify at the official NPI Registry.