Organization Active NPI

Sheldon S. Kabaker, M.D., Inc

  • Facial Plastic Surgery Physician
  • Oakland, CA
National Provider Identifier
1710288287
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
G12959 Issued in CA
Legal business name
SHELDON S. KABAKER, M.D., INC
Practice address
3324 Webster St
Oakland, CA 94609-3105
Phone
(510) 451-1116
Fax
(510) 451-1426
NPI assigned
Nov 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Dr. Sheldon S Kabaker, M.D.
Title
Owner/President
Phone
(510) 451-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0123X G12959 CA Primary

Addresses

Primary practice location

3324 Webster St
Oakland, CA 94609-3105

Mailing address

3324 Webster St
Oakland, CA 94609-3105
Phone (510) 451-1116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1710288287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093105",
            "telephone_number": "510-451-1116",
            "fax_number": "510-451-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093105",
            "telephone_number": "510-451-1116",
            "fax_number": "510-451-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELDON S. KABAKER, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "KABAKER",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "510-451-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "G12959",
            "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 Nov 15, 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.