Marya W Oakes, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NP15701 Issued in CA

Practice address

1508 West LN
Stockton, CA 95205-3340

Phone

(209) 948-2886

Fax

(209) 948-2831

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• San Joaquin Behavioral Health Services

  • Community/Behavioral Health Agency
  • Stockton, CA
  • NPI 1215028931
  Medicare reassignment NPD
• Birch Pain & Spine Group

  • Other Specialist/Technologist
  • Tracy, CA
  • NPI 1871188862
  NPD
• County of San Joaquin

  • Multi-Specialty Clinic/Center
  • Manteca, CA
  • NPI 1417407636
  NPD
• San Joaquin County Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lodi, CA
  • NPI 1265647234
  NPD
• Center for Sight of Stockton a Medical Corporation

  • Specialist
  • Stockton, CA
  • NPI 1326062084
  NPD (past)
• Central Stockton Medical Clinic

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1932148343
  NPD (past)
• Lags Spine and Sportscare Medical Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Hayward, CA
  • NPI 1962983965
  NPD (past)
• Regenerative Spine, Pain, and Neuropathy Centers, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bakersfield, CA
  • NPI 1497323570
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1912978263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST",
            "address_2": "STE 1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-948-1583",
            "fax_number": "209-948-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 WEST LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952053340",
            "telephone_number": "209-948-2886",
            "fax_number": "209-948-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKES",
        "first_name": "MARYA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP15701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PTAN",
            "identifier": "ZZZ06588Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "ZZZ25352Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann O'Neill, MFT
• Oak Healthcare Inc
• Oak Healthcare Inc
• Oak Healthcare Inc
• Oak Park Health Care Center
• Susan Jeanne Oase, RN, FNP
• Jory Ober
• Madison Star Oberster
• Osorochukwu Sonia Obi
• Elvire Obirai

• Primary Care Nurse Practitioner in Stockton, CA
• Providers in Stockton, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.