Individual provider Active NPI

Sara Sepehrdad Kuo, M.D., M.P.H.

  • Pediatrics Physician
  • Oakland, CA
National Provider Identifier
1629259064
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A101378 Issued in CA
Practice address
747 52ND St
Pediatric Hospitalist
Oakland, CA 94609-1809
Phone
(510) 428-3885
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A101378 CA Primary

Addresses

Primary practice location

747 52ND St
Pediatric Hospitalist
Oakland, CA 94609-1809

Mailing address

747 52ND St
Pediatric Hospitalist
Oakland, CA 94609-1809
Phone (510) 428-3885

Other names 1

  • Sara Sepehrdad Former name

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
I20090815000090 CA Practitioner - Pediatric Medicine 2567516214 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101378CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Pediatrics Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 25, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 25, 2021 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jun 25, 2021 Accepting new patients
University of California San Francisco CurrentSince Jun 25, 2021 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jun 25, 2021 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
UCSF Health Medical Foundation Past Accepting new patients
Marin General Hospital Past Accepting new patients
University of California San Francisco Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Children'S Hospital & Research Center at Oakland Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1629259064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "PEDIATRIC HOSPITALIST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "PEDIATRIC HOSPITALIST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "SARA",
        "middle_name": "SEPEHRDAD",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A101378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "SEPEHRDAD",
            "credential": "M.D., M.P.H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.