Laura Beth Denenberg, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A060244 Issued in CA

Practice address

1300 Bancroft Ave
San Leandro, CA 94577-5147

Phone

(510) 483-2600

Fax

(510) 483-2605

NPI assigned

Aug 31, 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 names 1

• Laura Beth Denenberg Wildmann Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ldenenberg81893@direct-ucsfmedicalcenter.org

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962513093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BANCROFT AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775147",
            "telephone_number": "510-483-2600",
            "fax_number": "510-483-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BANCROFT AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775147",
            "telephone_number": "510-483-2600",
            "fax_number": "510-483-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENENBERG",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A060244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "DENENBERG WILDMANN",
            "middle_name": "BETH",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Duke Blakeney Deloache
• Monider Kaur Demars
• Monique Kathleen Demartini, PA-C
• Nicholas Demartini
• Genevieve Renee Hockin Demus
• Mark Dennis
• Joan Kathleen Denzler, P.T.
• Alexandra Depratti
• Susan M Devera, DMD
• Jessica Devol

• Pediatrics Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.