Active NPI
Adam Dietz, MSW, MPH
- Social Worker
- Oakland, CA
National Provider Identifier
1861862013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 61911
- Practice address
- 6955 Foothill Blvd
Oakland, CA 94605-2455 - Phone
- (510) 746-5531
- NPI assigned
- Sep 30, 2015
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 61911 | CA | Primary |
Addresses
Primary practice location
6955 Foothill Blvd
Oakland, CA 94605-2455
Mailing address
510 17TH St
Oakland, CA 94612-1553
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61911 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1861862013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 17TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6955 FOOTHILL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052455",
"telephone_number": "510-746-5531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETZ",
"first_name": "ADAM",
"credential": "MSW, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "61911",
"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 Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.