NPIMap

Individual provider Active NPI

Lorelle Eileen Carlley, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Oakland, CA
National Provider Identifier
1821057050
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A71144 Issued in CA
Practice address
350 Hawthorne Ave
Dept. of Pathology
Oakland, CA 94609-3108
Phone
(510) 869-6567
Fax
(510) 869-6707
NPI assigned
Mar 17, 2006
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X A71144 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A71144 CA Primary

Addresses

Primary practice location

350 Hawthorne Ave
Dept. of Pathology
Oakland, CA 94609-3108

Mailing address

350 Hawthorne Ave
Dept. of Pathology
Oakland, CA 94609-3108
Phone (510) 869-6567

Other practice location 1

2510 Webster St
Berkeley, CA 94705-2557
Phone (510) 548-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000828 CA Practitioner - Pathology 2860479037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Oregon Health Sciences University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alta East Bay Pathology, Inc.Group PAC ID 8224024013, 6 clinicians

Practice addresses (Care Compare)

350 Hawthorne Ave
Oakland, CA 94609-3108
Phone (510) 869-6567

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.55 of 100Reported as individual
Quality
72.06
Improvement activities
0
Cost
72.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71144CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alta East Bay Pathology, Inc. Cytopathology CurrentSince Jul 19, 2004 Accepting new patients
Bass Medical Group Current Accepting new patients
Alta East Bay Pathology, Inc. CurrentSince Jul 19, 2004 Accepting new patients
Bay Area Surgical Specialists, Inc a Medical Corporation CurrentSince Jul 1, 2022 Accepting new patients
Bass Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Bass Medical Group Past Accepting new patients
Northern California Gastroenterology Consultants, Inc. Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2510 Webster St
Berkeley, CA 94705
Phone (510) 548-6555

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

350 Hawthorne Ave
Oakland, CA 94609
Phone (510) 655-4000

Interoperability endpoints

  • Direct secure messaging: lcarlley141955@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1821057050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HAWTHORNE AVE",
            "address_2": "DEPT. OF PATHOLOGY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093108",
            "telephone_number": "510-869-6567",
            "fax_number": "510-869-6707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HAWTHORNE AVE",
            "address_2": "DEPT. OF PATHOLOGY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093108",
            "telephone_number": "510-869-6567",
            "fax_number": "510-869-6707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Webster St",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052557",
            "country_code": "US",
            "telephone_number": "510-548-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLLEY",
        "first_name": "LORELLE",
        "middle_name": "EILEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "A71144",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A71144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.