NPIMap

Individual provider Active NPI

Rebecca Lyn McEntee, MD

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1528105707
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A97508 Issued in CA
Practice address
1030 International Blvd.
Oakland, CA 94606-3730
Phone
(510) 238-5400
NPI assigned
Jan 30, 2007
Last updated
Aug 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A97508 CA Primary

Addresses

Primary practice location

1030 International Blvd.
Oakland, CA 94606-3730

Mailing address

P.O. Box 22210
Oakland, CA 94623-2210
Phone (510) 535-4000

Other identifiers 1

IdentifierTypeStateIssuer
FHC11991FMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081002000196 CA Practitioner - Family Practice 7113095209 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rush Medical College of Rush University, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Clinica de la Raza IncGroup PAC ID 1557258282, 130 clinicians

Practice addresses (Care Compare)

1030 International Blvd
Oakland, CA 94606-3730
Phone (510) 238-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97508CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care Family Medicine CurrentSince Oct 14, 2019 Accepting new patients
La Clinica de la Raza Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
La Clinica de la Raza Inc CurrentSince Jul 14, 2013 Accepting new patients
La Clinica de la Raza, Inc. CurrentSince Jul 14, 2013 Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Oct 25, 2022 Accepting new patients
Lifelong Medical Care CurrentSince Oct 14, 2019 Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Oct 25, 2022 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
La Clinica de la Raza, Inc. Past Accepting new patients
City & County of San Francisco Past Accepting new patients

Locations

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

1030 International Blvd
Oakland, CA 94606
Phone (510) 238-5400

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

2021 Main St
Oakley, CA 94561
Phone (925) 776-8200

150 Harbour Way
Richmond, CA 94801
Phone (510) 237-9537

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rebecca.mcenteemd.p1@direct.ppmarmonte.nextgenshare.com
  • Direct secure messaging: rmcentee160348@hisp.ehr.sutterhealth.org
  • Direct secure messaging: rmcentee306292@direct.ochin.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1528105707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 22210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946232210",
            "telephone_number": "510-535-4000",
            "fax_number": "510-535-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 INTERNATIONAL BLVD.",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946063730",
            "telephone_number": "510-238-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENTEE",
        "first_name": "REBECCA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A97508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC11991F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.