Individual provider Active NPI

Karin Dydell, M.D.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1710094107
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A73350 Issued in CA
Practice address
400 34TH St
Oakland, CA 94609-2816
Phone
(510) 869-6883
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A73350 CA
Internal Medicine Physician 207R00000X A73350 CA Primary

Addresses

Primary practice location

400 34TH St
Oakland, CA 94609-2816

Mailing address

1510 4TH St
Ste 1
Berkeley, CA 94710-1717
Phone (510) 525-8980

Other identifiers 1

IdentifierTypeStateIssuer
00A733500MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040123000538 CA Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 8224930805 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A73350CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Wound Care Inc CurrentSince Jul 1, 2022 Accepting new patients
Mission Area Health Associates Current Accepting new patients
Crescent Wound Care Inc Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Sutter East Bay Medical Foundation Internal Medicine Past Accepting new patients
Avant Inpatient Services Medical Group, Inc Internal Medicine Past Accepting new patients
Peninsula Hospitalist Associates, Inc. Internal Medicine Past Accepting new patients
Mochi Medical Ca PC Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
North Bay Hospital Medicine Group, Inc. Internal Medicine Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119

1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896

240 Shotwell St
San Francisco, CA 94110
Phone (415) 552-1013

165 Capp St
San Francisco, CA 94110
Phone (415) 869-7977

1580 Valencia St
Ste 506
San Francisco, CA 94110
Phone (415) 641-6500

Interoperability endpoints

  • Direct secure messaging: kdydell702529@direct.ochin.org
  • Direct secure messaging: kdydellmdmphs147807@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1710094107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 4TH ST",
            "address_2": "STE 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101717",
            "telephone_number": "510-525-8980",
            "fax_number": "510-525-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 34TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092816",
            "telephone_number": "510-869-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYDELL",
        "first_name": "KARIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A73350",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A73350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A733500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.