Active NPI
Sheldon S. Kabaker, M.D., Inc
- Facial Plastic Surgery Physician
- Oakland, CA
National Provider Identifier
1710288287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- G12959
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 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 DirectoryNPI 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.