NPIMap

Individual provider Active NPI

Theresa McCleary, NP

  • Family Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1912124702
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
525702 Issued in CA
Practice address
6965 Foothill Blvd, Suite 200
Oakland, CA 94605
Phone
(510) 567-5775
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 525702 CA Primary

Addresses

Primary practice location

6965 Foothill Blvd, Suite 200
Oakland, CA 94605

Mailing address

6965 Foothill Blvd, Suite 200
Oakland, CA 94605
Phone (510) 567-5775

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
I20071207000872 CA Practitioner - Nurse Practitioner 4385733773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Un of California, Irvine, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

15400 Foothill Blvd
Castro Valley, CA 94578-1009
Phone (510) 437-5086

Hospital & facility affiliations

  • Highland Hospital Hospital, Oakland, CA, CCN 050320

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10962CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Nov 4, 2012 Accepting new patients
Alameda Health System CurrentSince Nov 4, 2012 Accepting new patients
Alameda Health System Past Accepting new patients

Locations

15400 Foothill Blvd
Bldg E
Castro Valley, CA 94578
Phone (510) 895-4200

15400 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 346-1468

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

Interoperability endpoints

  • Direct secure messaging: tmccleary12105@alamedahs.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1912124702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 FOOTHILL BLVD, SUITE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94605",
            "telephone_number": "510-567-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 FOOTHILL BLVD, SUITE 200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94605",
            "telephone_number": "510-567-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEARY",
        "first_name": "THERESA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "525702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.