Oliver S Osborn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G78700 Issued in CA

Practice address

100 Drakes Landing Rd # a
Suite 225
Greenbrae, CA 94904-2404

Phone

(415) 924-1214

Fax

(415) 924-1375

NPI assigned

Oct 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Prima Medical Group, Inc.

  • Family Medicine Physician
  • San Rafael, CA
  • NPI 1154377489
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1700874377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DRAKES LANDING RD # A",
            "address_2": "SUITE 225",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042404",
            "telephone_number": "415-924-1214",
            "fax_number": "415-924-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DRAKES LANDING RD # A",
            "address_2": "SUITE 225",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042404",
            "telephone_number": "415-924-1214",
            "fax_number": "415-924-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "OLIVER",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G78700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachiko Okano, MFT
• Luis Olivera Jr.
• Kara Suzanne Ornstein, MD
• Rosanne Maureen Orourke, RN, FNP
• Dennis Steven Orwig, M.D.
• Laura K. Pak, M.D.
• Todd Paler
• Roger L Pancoska, D.D.S.
• Kristin L Pappas, M.D.
• Beau Yun Park, M.D.

• Family Medicine Physician in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.