Grace G Lat, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A5590 Issued in CA

Practice address

6599 Foothill Blvd.
Oakland, CA 94605

Phone

(510) 567-5700

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alameda Health System

  • Surgery Physician
  • Oakland, CA
  • NPI 1740332931
  Medicare reassignment NPD
• Alameda Health System

  dba Newark Health Center

  • Federally Qualified Health Center (FQHC)
  • Newark, CA
  • NPI 1497956288
  NPD
• Alameda Health System

  dba Eastmont Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1932300738
  NPD

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528196326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 CHERRY BLOSSOM WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945874911",
            "telephone_number": "510-429-0933",
            "fax_number": "510-429-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6599 FOOTHILL BLVD.",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94605",
            "telephone_number": "510-567-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAT",
        "first_name": "GRACE",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A5590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Mary Lassalle-Klein, MD
• Jeana Rose Lasser
• Carla Cheri Laster, REG DENTAL HYGIENIST
• Shelia Amos Lastie
• Rachel Mendoza Lastimosa, AMFT
• Rachel Camilla Lateiner, PT
• Emily Jane Lathrop
• Marie Latourelle, RN MSN CHFN
• Allison Latray, MS,RD,CSP
• Cornelia Gramlich Latronica, M.D.

• Adult Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Adult Medicine Physician in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.