Active NPI
Nancy Veerhusen, PA
- Medical Physician Assistant
- Oakland, CA
National Provider Identifier
1730131715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 11765
- Practice address
- 10700 Macarthur Blvd
East Oakland Clinic, Suite 14B
Oakland, CA 94605-5260 - Phone
- (510) 563-4327
- NPI assigned
- May 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 11765 | CA | Primary |
Addresses
Primary practice location
10700 Macarthur Blvd
East Oakland Clinic, Suite 14B
Oakland, CA 94605-5260
Mailing address
10700 Macarthur Blvd
East Oakland Clinic, Suite 14B
Oakland, CA 94605-5260
Phone (510) 563-4327
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110622000260 | CA | Order and Referring Only - Physician Assistant | 5698953602 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11765 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1730131715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 MACARTHUR BLVD",
"address_2": "EAST OAKLAND CLINIC, SUITE 14B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946055260",
"telephone_number": "510-563-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 MACARTHUR BLVD",
"address_2": "EAST OAKLAND CLINIC, SUITE 14B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946055260",
"telephone_number": "510-563-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEERHUSEN",
"first_name": "NANCY",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "11765",
"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 Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.