Individual provider Active NPI

Deborah Wafer, MD

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1730523416
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G41873 Issued in CA
Practice address
500 William St
#335
Oakland, CA 94612-1183
Phone
(510) 283-3526
Fax
(510) 879-7367
NPI assigned
Apr 24, 2013
Last updated
Apr 24, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G41873 CA Primary

Addresses

Primary practice location

500 William St
#335
Oakland, CA 94612-1183

Mailing address

500 William Street
#335
Oakland, CA 94612-1191
Phone (510) 283-3526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G41173CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Health Inc a Medical Corporation Family Medicine PastSince Jan 4, 2016 Accepting new patients
Family Practice Medical Group of Oakland Family Medicine Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1730523416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WILLIAM STREET",
            "address_2": "#335",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121191",
            "telephone_number": "510-283-3526",
            "fax_number": "510-879-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WILLIAM ST",
            "address_2": "#335",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121183",
            "telephone_number": "510-283-3526",
            "fax_number": "510-879-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAFER",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G41873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.