Active NPI
Karla Ann Sagramoso, PHD
- Clinical Psychologist
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY14104
- Practice address
- 770 53Rd St
Oakland, CA 94609-1814 - Phone
- (510) 459-6893
- NPI assigned
- Jun 13, 2006
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 14104 | CA | |
| Clinical Psychologist | 103TC0700X | PSY14104 | CA | Primary |
Addresses
Primary practice location
770 53Rd St
Oakland, CA 94609-1814
Mailing address
770 53Rd St
Oakland, CA 94609-1814
Phone (510) 459-6893
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPL141040 | Other | CA | BLUE SHIELD |
| 76083 | Other | CA | MHN |
| HSP40611F | Medicaid | CA |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY14104 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Psychiatry | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| Good Roots Psychotherapy | Past | Accepting new patients | |
| Encore Clinical Consultation | Past | Accepting new patients |
Locations
225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002
770 53rd St
Oakland, CA 94609
Phone (510) 428-3441
747 52nd St
Oakland, CA 94609
Phone (510) 428-3070
401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500
675 18th St
San Francisco, CA 94143
Phone (415) 476-7527
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1427105279
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Clinical Social Worker
- Pleasant Hill, CA
- NPI 1235773177
-
- Mental Health Counselor
- Pleasant Hill, CA
- NPI 1235086976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1649213307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 53RD ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091814",
"telephone_number": "510-459-6893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 53RD ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091814",
"telephone_number": "510-459-6893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGRAMOSO",
"first_name": "KARLA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "14104",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY14104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "OPL141040",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "76083",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40611F",
"state": "CA"
}
],
"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 Jun 16, 2023; 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.