Oakland Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

102486 Issued in CA

Legal business name

OAKLAND MEDICAL SUPPLY

Practice address

823 Harrison St
Oakland, CA 94607-4422

Phone

(510) 268-3228

Fax

(510) 268-3238

NPI assigned

Nov 30, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ann Fok

Title

Owner

Phone

(510) 268-3228

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568446938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074422",
            "telephone_number": "510-268-3228",
            "fax_number": "510-268-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 HARRISON ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074422",
            "telephone_number": "510-268-3228",
            "fax_number": "510-268-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOK",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-268-3228",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03067F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oakland Healthcare & Wellness Center LLC (Oakland Healthcare & Wellness Center)
• Oakland Hills Acupuncture Corp.
• Oakland Manual Therapy
• Oakland Medical Group, Inc.
• Oakland Medical Market Inc
• Oakland Natives Give Back Fund Inc.
• Oakland Oncology Surgery Center LLC
• Oakland Pharmacy Inc (Childrens Clinic Pharmacy)
• Oakland Pharmacy Inc (New Oakland Pharmacy)
• Oakland Pharmacy Inc.

• Durable Medical Equipment & Medical Supplies in Oakland, CA
• Providers in Oakland, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.