Active NPI
Maria Luisa Osmena, MD
- Pediatrics Physician
- San Bruno, CA
National Provider Identifier
1922172162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G78328
- Practice address
- 1150 El Camino Real Ste 225
San Bruno, CA 94066-2424 - Phone
- (650) 873-3338
- Fax
- (650) 873-3308
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G78328 | CA | Primary |
Addresses
Primary practice location
1150 El Camino Real Ste 225
San Bruno, CA 94066-2424
Mailing address
1150 El Camino Real Ste 225
San Bruno, CA 94066-2424
Phone (650) 873-3338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0101840 | Other | CA | GROUP MEDICAID # |
| 00G783280 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G78328 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livewell Medical Clinic Inc | Pediatrics | Past | Accepting new patients |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Brown & Toland Medical Group
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Pediatrics Physician
- San Bruno, CA
- NPI 1770675886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1922172162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 EL CAMINO REAL STE 225",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940662424",
"telephone_number": "650-873-3338",
"fax_number": "650-873-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 EL CAMINO REAL STE 225",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940662424",
"telephone_number": "650-873-3338",
"fax_number": "650-873-3308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSMENA",
"first_name": "MARIA",
"middle_name": "LUISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G78328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID #",
"identifier": "GR0101840",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G783280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.