Individual provider Active NPI

Annette Louise Orejuela

  • Case Manager/Care Coordinator
  • Oakland, CA
National Provider Identifier
1790279818
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
7200 Bancroft Ave Ste 133
Oakland, CA 94605-2480
Phone
(925) 360-1983
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

7200 Bancroft Ave Ste 133
Oakland, CA 94605-2480

Mailing address

7200 Bancroft Ave Ste 133
Oakland, CA 94605-2480
Phone (925) 360-1983

Other practice location 1

1901 Church Ln
San Pablo, CA 94806-3707
Phone (510) 236-3170

Other practice location 2

3707 Sunset Ln
Antioch, CA 94509
Phone (925) 522-0124 ext. 308

Other practice location 3

3707 Sunset Ln
Antioch, CA 94509-6101
Phone (925) 522-0124 ext. 308

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

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1790279818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 133",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052480",
            "telephone_number": "925-360-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 133",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052480",
            "telephone_number": "925-360-1983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Church Ln",
            "address_purpose": "LOCATION",
            "city": "San Pablo",
            "state": "CA",
            "postal_code": "948063707",
            "country_code": "US",
            "telephone_number": "510-236-3170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "94509",
            "country_code": "US",
            "telephone_number": "925-522-0124 x308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3707 Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096101",
            "country_code": "US",
            "telephone_number": "925-522-0124 x308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OREJUELA",
        "first_name": "ANNETTE",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "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 Nov 27, 2024; 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.