Patrica Collins, CO

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

430 40TH St
1St Floor
Oakland, CA 94609-2691

Phone

(510) 653-9834

Fax

(510) 653-9037

NPI assigned

Feb 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Center for Independent Rehabilitative Services

  • Prosthetic/Orthotic Supplier
  • Stockton, CA
  • NPI 1871808295
  NPD (past)
• Center for Independent Rehabilitative Services, Inc

  • Prosthetic/Orthotic Supplier
  • Oakland, CA
  • NPI 1518980515
  NPD (past)

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1689970139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 HI TECH PKWY",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953619372",
            "telephone_number": "209-845-8231",
            "fax_number": "209-845-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 40TH ST",
            "address_2": "1ST FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092691",
            "telephone_number": "510-653-9834",
            "fax_number": "510-653-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "PATRICA",
        "credential": "CO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XA0026210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Erin Collins, D.D.S.
• Brittani Lace Collins
• Jaliza Collins
• Janai Collins
• Lauren Kristin Collins
• Samm Collins
• Sofia Helene Collins, LMFT
• Willie Macarthur Collins, PHYSICIAN ASSISTANT
• Zoe Collins, PSYD
• Kelly Collyer, PSYD

• Other Specialist/Technologist in Oakland, CA
• Providers in Oakland, CA by specialty
• Other Specialist/Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.