Individual provider Active NPI

Angelica Bate, RN

  • Registered Nurse
  • Oakland, CA
National Provider Identifier
1477093979
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95271964 Issued in CA
Practice address
1221 Broadway
Oakland, CA 94612-1837
Phone
(415) 972-6000
NPI assigned
Mar 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95271964 CA Primary

Addresses

Primary practice location

1221 Broadway
Oakland, CA 94612-1837

Mailing address

3220 S Crenshaw St Apt B
Visalia, CA 93277-8848
Phone (559) 802-7770

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95271964CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. PastSince Aug 14, 2022 Accepting new patients
Brown & Toland Physicians PastSince Aug 14, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicproxy.et1138.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1477093979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 S CRENSHAW ST APT B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778848",
            "telephone_number": "559-802-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121837",
            "telephone_number": "415-972-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATE",
        "first_name": "ANGELICA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95271964",
            "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 Aug 12, 2022; 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.