Active NPI
Olga Franklin Eaglin
- Physician Assistant
- San Pablo, CA
National Provider Identifier
1457480410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13833
- Practice address
- 2023 Vale Rd Ste 107
Brookside Community Health Center
San Pablo, CA 94806-3891 - Phone
- (510) 215-5001
- Fax
- (510) 215-1115
- NPI assigned
- Mar 5, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13833 | CA | Primary |
Addresses
Primary practice location
2023 Vale Rd Ste 107
Brookside Community Health Center
San Pablo, CA 94806-3891
Mailing address
2023 Vale Rd Ste 107
Brookside Community Health Center
San Pablo, CA 94806-3891
Phone (510) 215-5001
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA13833 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457480410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 VALE RD STE 107",
"address_2": "BROOKSIDE COMMUNITY HEALTH CENTER",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063891",
"telephone_number": "510-215-5001",
"fax_number": "510-215-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 VALE RD STE 107",
"address_2": "BROOKSIDE COMMUNITY HEALTH CENTER",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063891",
"telephone_number": "510-215-5001",
"fax_number": "510-215-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EAGLIN",
"first_name": "OLGA",
"middle_name": "FRANKLIN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA13833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
- Angela Drake
- Catherine Navelga Dris, PTA
- Maya Deshe Drori, MFT
- Herb L. Dungeon Sr.
- Dva Healthcare Renal Care Inc (San Pablo Dialysis)
- East Bay Cardiology Medical Group
- East Bay Nephrology Medical Group, Inc.
- East Bay Pulmonary Medical Group Professional Corporation
- Eastbay Hematology/Oncology Consultants, Inc
- Denise Ellison
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.