Oksana Prodan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95010696 Issued in CA

Practice address

1301 Shoreway Rd Ste 100
Belmont, CA 94002-4110

Phone

(650) 596-7000

Fax

(650) 596-7093

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

99.64 of 100Reported as apm

Quality

86.27

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Dignity Health Medical Foundation

  dba Woodland Clinic, a service of Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Woodland, CA
  • NPI 1144497678
  NPD (past)

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1780148619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHOREWAY RD STE 100",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940024110",
            "telephone_number": "650-596-7000",
            "fax_number": "650-596-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRODAN",
        "first_name": "OKSANA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Elizabeth Perez, RAS
• Vincent S. Perez, MD
• Laura Petix, MS, OTR/L
• Jolly Philip
• Physiotherapy Associates, Inc. (Select Physical Therapy)
• Irina Pudovinnikova, M.ED
• Darlene Claud Quitoriano, OTR/L
• Anjali K. Rao, MD
• Kizzy Raphael, N.D.
• Savannah Grace Redfern

• Family Nurse Practitioner in Belmont, CA
• Providers in Belmont, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.