Active NPI
Audrey Kavka, M.D.
- Psychiatry Physician
- Oakland, CA
National Provider Identifier
1831393560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G34665
- Practice address
- 459 Boulevard Way
Oakland, CA 94610-1526 - Phone
- (510) 835-3501
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G34665 | CA | Primary |
Addresses
Primary practice location
459 Boulevard Way
Oakland, CA 94610-1526
Mailing address
459 Boulevard Way
Oakland, CA 94610-1526
Phone (510) 835-3501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 28, 2016 through Jan 28, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34665 | CA | MD | Clinical Psychologist |
| G34665 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831393560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 BOULEVARD WAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101526",
"telephone_number": "510-835-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 BOULEVARD WAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101526",
"telephone_number": "510-835-3501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVKA",
"first_name": "AUDREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G34665",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.