Active NPI
Kyle Otto Lakatos
- Student in an Organized Health Care Education/Training Program
- Oakland, CA
National Provider Identifier
1720848575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Kaiser Permanente Oakland Medical Center
275 W. Macarthur Blvd.
Oakland, CA 94611 - Phone
- (206) 412-2467
- NPI assigned
- Mar 20, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Kaiser Permanente Oakland Medical Center
275 W. Macarthur Blvd.
Oakland, CA 94611
Mailing address
Kaiser Permanente Oakland Medical Center
275 W. Macarthur Blvd.
Oakland, CA 94611
Phone (206) 412-2467
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": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1720848575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KAISER PERMANENTE OAKLAND MEDICAL CENTER",
"address_2": "275 W. MACARTHUR BLVD.",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94611",
"telephone_number": "206-412-2467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KAISER PERMANENTE OAKLAND MEDICAL CENTER",
"address_2": "275 W. MACARTHUR BLVD.",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94611",
"telephone_number": "206-412-2467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKATOS",
"first_name": "KYLE",
"middle_name": "OTTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-20",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"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 Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.