Cliff Owl III

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4175 Lakeside Drive
Suite 110
Richmond, CA 94806

Phone

(510) 262-6551

Fax

(510) 222-7085

NPI assigned

Jun 2, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1841670130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 28TH STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94608",
            "telephone_number": "828-557-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4175 LAKESIDE DRIVE",
            "address_2": "SUITE 110",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-262-6551",
            "fax_number": "510-222-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWL",
        "first_name": "CLIFF",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Velazquez Orozco
• Vicente Orozco
• Adalia Marie Ortiz
• Folusho Otti
• Kimberly Ouk
• Chico Pacheco
• Pacific East Dental Care
• Carlos Padilla, DC
• Alana Page, PA-C
• Jinny Lee Pagle, LM, CPM, CD

• Mental Health Counselor in Richmond, CA
• Providers in Richmond, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.