Active NPI
Paul Kent Opsvig, MD
- Child & Adolescent Psychiatry Physician
- Oakland, CA
National Provider Identifier
1841212669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A20538
- Practice address
- 7200 Bancroft Ave
Oakland Childrens Services Ste 125D
Oakland, CA 94605 - Phone
- (510) 777-3892
- Fax
- (510) 777-3880
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | A20538 | CA | Primary |
Addresses
Primary practice location
7200 Bancroft Ave
Oakland Childrens Services Ste 125D
Oakland, CA 94605
Mailing address
7200 Bancroft Ave
Oakland Childrens Services Ste 125D
Oakland, CA 94605
Phone (510) 777-3892
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A20538 | CA | MD | Child & Adolescent Psychiatry Physician |
| 20538 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Alameda | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841212669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 BANCROFT AVE",
"address_2": "OAKLAND CHILDRENS SERVICES STE 125D",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94605",
"telephone_number": "510-777-3892",
"fax_number": "510-777-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 BANCROFT AVE",
"address_2": "OAKLAND CHILDRENS SERVICES STE 125D",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94605",
"telephone_number": "510-777-3892",
"fax_number": "510-777-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPSVIG",
"first_name": "PAUL",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A20538",
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.