Active NPI
Sophia Helen Nogue, RN, NP
- Family Nurse Practitioner
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95007547
- Practice address
- 3451 E 12TH St
Oakland, CA 94601-3463 - Phone
- (510) 535-3500
- Fax
- (510) 535-4187
- NPI assigned
- Aug 29, 2018
- Last updated
- Oct 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95007547 | CA | Primary |
| Registered Nurse | 163W00000X | 95069697 | CA |
Addresses
Primary practice location
3451 E 12TH St
Oakland, CA 94601-3463
Mailing address
PO Box 22210
Oakland, CA 94623-2210
Phone (510) 535-4000
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95069697 | CA | MD | Registered Nurse |
| 95007547 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| Planned Parenthood Shasta Diablo Inc | Current | Accepting new patients | |
| Planned Parenthood Shasta Diablo Inc | Current | Accepting new patients | |
| Planned Parenthood Shasta Diablo Inc | Current | Accepting new patients |
Locations
2185 Pacheco St
Concord, CA 94520
Phone (925) 676-0300
3451 E 12th St
Oakland, CA 94601
Phone (510) 535-3319
2970 Hilltop Mall Rd
Ste 307
Richmond, CA 94806
Phone (510) 222-5290
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Clinic/Center
- Concord, CA
- NPI 1982763090
-
dba La Clinica de La Raza
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1144336181
-
dba Planned Parenthood Northern California
- Clinical Medical Laboratory
- San Rafael, CA
- NPI 1750435244
-
dba Planned Parenthood Northern California
- Community Health Clinic/Center
- Richmond, CA
- NPI 1770641482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1629550454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22210",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946232210",
"telephone_number": "510-535-4000",
"fax_number": "510-535-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3451 E 12TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946013463",
"telephone_number": "510-535-3500",
"fax_number": "510-535-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOGUE",
"first_name": "SOPHIA",
"middle_name": "HELEN",
"credential": "RN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-29",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95007547",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95069697",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.