Individual provider Active NPI

Daveena Ma, MD

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1629034368
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A84979 Issued in CA
Practice address
818 Webster St
Oakland, CA 94607-4220
Phone
(510) 986-6800
Fax
(510) 986-6897
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A84979 CA Primary

Addresses

Primary practice location

818 Webster St
Oakland, CA 94607-4220

Mailing address

818 Webster St
Oakland, CA 94607-4220
Phone (510) 986-6800

Other identifiers 1

IdentifierTypeStateIssuer
00A849790MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081217000009 CA Practitioner - Internal Medicine 2365483195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University Medical College - NLG, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian Health ServicesGroup PAC ID 0244271021, 93 clinicians

Practice addresses (Care Compare)

818 Webster St
Oakland, CA 94607-4220
Phone (510) 986-6800

Hospital & facility affiliations

  • Asian Network Pacific Home Care, Inc Home health agency, Oakland, CA, CCN 557747
  • Centerwell Asian American Home Health Home health agency, Alameda, CA, CCN 557754
  • Alta Bates Summit Medical Center Hospital, Oakland, CA, CCN 050043
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84979CAMDPharmacist
A84979CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alta Bates Summit Medical Center Past Accepting new patients
Asian Health Services Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dma273648@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629034368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074220",
            "telephone_number": "510-986-6800",
            "fax_number": "510-986-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074220",
            "telephone_number": "510-986-6800",
            "fax_number": "510-986-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "DAVEENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A849790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.