Active NPI
Matthew Chisek
- Counselor
- Oakland, CA
National Provider Identifier
1700407129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 6333 Telegraph Ave Ste 102
Oakland, CA 94609-1359 - Phone
- (510) 923-1099
- NPI assigned
- Apr 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
6333 Telegraph Ave Ste 102
Oakland, CA 94609-1359
Mailing address
2341 Leavenworth St
San Francisco, CA 94133-2213
Phone (646) 406-1356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1700407129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2341 LEAVENWORTH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941332213",
"telephone_number": "646-406-1356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 TELEGRAPH AVE STE 102",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091359",
"telephone_number": "510-923-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISEK",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-27",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"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 Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.