Active NPI
Haro Ogawa
- Acupuncturist
- San Ramon, CA
National Provider Identifier
1609057918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 11771
- Practice address
- 2617 Basswood Dr
San Ramon, CA 94582-3040 - Phone
- (925) 518-5143
- NPI assigned
- Nov 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 11771 | CA | Primary |
Addresses
Primary practice location
2617 Basswood Dr
San Ramon, CA 94582-3040
Mailing address
2550 Shattuck Ave
Berkeley, CA 94704-2724
Phone (510) 666-8234
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11771 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aimc Berkeley | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Acupuncturist
- Berkeley, CA
- NPI 1033395231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1609057918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 SHATTUCK AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947042724",
"telephone_number": "510-666-8234",
"fax_number": "510-666-0111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 BASSWOOD DR",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945823040",
"telephone_number": "925-518-5143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGAWA",
"first_name": "HARO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-15",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "11771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.