Active NPI
Leonard T. Kaku, NP
- Family Nurse Practitioner
- Oakland, CA
National Provider Identifier
1942252572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 302436
- Practice address
- 616 16TH St
Downtown Oakland Clinic
Oakland, CA 94612-1205 - Phone
- (510) 451-4270
- Fax
- (510) 451-4285
- NPI assigned
- May 16, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 302436 | CA | Primary |
Addresses
Primary practice location
616 16TH St
Downtown Oakland Clinic
Oakland, CA 94612-1205
Mailing address
616 16TH St
Oakland, CA 94612-1205
Phone (510) 451-4270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302436 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1942252572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 16TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121205",
"telephone_number": "510-451-4270",
"fax_number": "510-451-4285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 16TH ST",
"address_2": "DOWNTOWN OAKLAND CLINIC",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121205",
"telephone_number": "510-451-4270",
"fax_number": "510-451-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKU",
"first_name": "LEONARD",
"middle_name": "T.",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "302436",
"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 Jan 20, 2012; 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.