Active NPI
Subhash C Mitra, MD, MPH, FACOG
- Maternal & Fetal Medicine Physician
- Oakland, CA
National Provider Identifier
1750312179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- C50372
- Practice address
- 350 30TH St
#205
Oakland, CA 94609-3424 - Phone
- (510) 444-0790
- Fax
- (510) 869-6225
- NPI assigned
- Jul 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | C50372 | CA | Primary |
| Maternal & Fetal Medicine Physician | 207VM0101X | 13332 | NV |
Addresses
Primary practice location
350 30TH St
#205
Oakland, CA 94609-3424
Mailing address
350 30TH St
#208
Oakland, CA 94609-3424
Phone (510) 444-0790
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13332 | NV | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Perinatal Medical Associates | Maternal & Fetal Medicine | Past | Accepting new patients |
| Sutter Community Health | 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 and National Provider Directory roles.
-
- Maternal & Fetal Medicine Physician
- Oakland, CA
- NPI 1144272170
-
- Clinic/Center
- Oakland, CA
- NPI 1811021405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1750312179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 30TH ST",
"address_2": "#208",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093424",
"telephone_number": "510-444-0790",
"fax_number": "510-869-6225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 30TH ST",
"address_2": "#205",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093424",
"telephone_number": "510-444-0790",
"fax_number": "510-869-6225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITRA",
"first_name": "SUBHASH",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD, MPH, FACOG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CA",
"license": "C50372",
"primary": true
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NV",
"license": "13332",
"primary": false
}
],
"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 Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.