Marjorie Y Oda, M.D.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

G30402 Issued in CA

Practice address

1 Daniel Burnham Court
Suite 365C
San Francsico, CA 94109

Phone

(415) 202-1920

Fax

(415) 922-6344

NPI assigned

Oct 4, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1427144971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 LA MESA DRIVE",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "94028",
            "telephone_number": "650-854-2831",
            "fax_number": "415-922-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DANIEL BURNHAM COURT",
            "address_2": "SUITE 365C",
            "city": "SAN FRANCSICO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-202-1920",
            "fax_number": "415-922-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODA",
        "first_name": "MARJORIE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "G30402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QME CERTIFICATE",
            "identifier": "913552",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "G30402",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alternative Family Services
• Elizabeth Madeleine Edwina Cole, MBBS
• Richard G Glogau, M D
• David R Kell, MD, PM&R
• Jane Myung, D.D.S.
• Thuy Thi Xuan Tran, D.O.
• Gabriele Voit, OT

• Legal Medicine in San Francsico, CA
• Providers in San Francsico, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.