Individual provider Active NPI

Cornelia Gramlich Latronica, M.D.

  • Pediatrics Physician
  • Oakland, CA
National Provider Identifier
1942464136
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A97290 Issued in CA
Practice address
747 52ND St
Chief Resident Office
Oakland, CA 94609-1809
Phone
(510) 428-3629
Fax
(510) 597-7039
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A97290 CA Primary

Addresses

Primary practice location

747 52ND St
Chief Resident Office
Oakland, CA 94609-1809

Mailing address

747 52ND St
Chief Resident Office
Oakland, CA 94609-1809
Phone (510) 428-3629

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220208001303 CA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 9032502455 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97290CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Oct 12, 2021 Accepting new patients
University of California San Francisco CurrentSince Oct 12, 2021 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 12, 2021 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Oct 12, 2021 Accepting new patients
East Bay Newborn Specialists, Inc. Past Accepting new patients
Children'S Hospital & Research Center at Oakland Past Accepting new patients
University of California San Francisco Past Accepting new patients
UCSF Health Medical Foundation Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
UCSF Benioff Children'S Oakland Past Accepting new patients

Locations

747 52nd St
Ofc
Oakland, CA 94609
Phone (510) 428-3629

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1942464136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "CHIEF RESIDENT OFFICE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3629",
            "fax_number": "510-597-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "CHIEF RESIDENT OFFICE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3629",
            "fax_number": "510-597-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATRONICA",
        "first_name": "CORNELIA",
        "middle_name": "GRAMLICH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A97290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.