Individual provider Active NPI

Patricia Osage

  • Community Health Worker
  • Fremont, CA
National Provider Identifier
1770930554
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
39055 Hastings St Ste 208
Fremont, CA 94538-1598
Phone
(510) 894-0370
NPI assigned
May 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

39055 Hastings St Ste 208
Fremont, CA 94538-1598

Mailing address

39055 Hastings St Ste 208
Fremont, CA 94538-1598
Phone (510) 894-0370

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address posage@lifeeldercare.org

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life Eldercare, Inc. CurrentSince Sep 5, 2021 Accepting new patients
City of Fremont PastSince Jun 25, 2007 Accepting new patients

Locations

39055 Hastings St
Ste 208
Fremont, CA 94538
Phone (510) 894-0370

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.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1770930554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39055 HASTINGS ST STE 208",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381598",
            "telephone_number": "510-894-0370",
            "fax_number": "510-217-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39055 HASTINGS ST STE 208",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381598",
            "telephone_number": "510-894-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAGE",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-20",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "posage@lifeeldercare.org",
            "affiliation": "N",
            "address_1": "39055 Hastings St Ste 208",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945381598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.