Active NPI
Ricardo Lozano
- Psychiatry Physician
- Oakland, CA
National Provider Identifier
1457892663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A157897
- Practice address
- 1501 Fruitvale Ave
Oakland, CA 94601-2322 - Phone
- (510) 535-6200
- NPI assigned
- Mar 20, 2017
- Last updated
- Jun 30, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A157897 | CA | Primary |
Addresses
Primary practice location
1501 Fruitvale Ave
Oakland, CA 94601-2322
Mailing address
401 Quarry Rd
Palo Alto, CA 94304-1419
Phone (650) 725-5591
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A157897 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| Brightside Medical, P.C. | Psychiatry | Past | Accepting new patients |
Locations
1501 Fruitvale Ave
Oakland, CA 94601
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba La Clinica Monument
- Federally Qualified Health Center (FQHC)
- Concord, CA
- NPI 1538181482
-
dba La Clinica de La Raza
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1144336181
-
dba La Clinica Dental at Children's Hospital Oakland
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1346262292
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1801355482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1457892663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 QUARRY RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041419",
"telephone_number": "650-725-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 FRUITVALE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012322",
"telephone_number": "510-535-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZANO",
"first_name": "RICARDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-20",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A157897",
"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 Jun 30, 2023; 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.