Active NPI
John D Warbritton III, MD
- Specialist
- Oakland, CA
National Provider Identifier
1477696458
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G47015
- Practice address
- 300 Frank H Ogawa PLZ Ste 700
Oakland, CA 94612-2048 - Phone
- (510) 350-4000
- Fax
- (510) 839-1692
- NPI assigned
- Feb 15, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G47015 | CA | Primary |
Addresses
Primary practice location
300 Frank H Ogawa PLZ Ste 700
Oakland, CA 94612-2048
Mailing address
172 Alice LN
Orinda, CA 94563-3601
Phone (510) 839-5564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 943354148 | Other | CA | TAX IDENTIFICATION NUMBER |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G47015 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1477696458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 ALICE LN",
"city": "ORINDA",
"state": "CA",
"postal_code": "945633601",
"telephone_number": "510-839-5564",
"fax_number": "510-839-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FRANK H OGAWA PLZ STE 700",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946122048",
"telephone_number": "510-350-4000",
"fax_number": "510-839-1692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARBRITTON",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G47015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "943354148",
"state": "CA"
}
],
"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 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.