Active NPI
Paul M Easterwood, BOC
- Orthotic Fitter
- Oakland, CA
National Provider Identifier
1982882155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- Practice address
- 6001 Telegraph Ave
Oakland, CA 94609-1310 - Phone
- (510) 658-2062
- Fax
- (510) 658-7779
- NPI assigned
- Feb 9, 2008
- 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 |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | Primary |
Addresses
Primary practice location
6001 Telegraph Ave
Oakland, CA 94609-1310
Mailing address
6001 Telegraph Ave
Oakland, CA 94609-1310
Phone (510) 658-2062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C26329 | Other | BOC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laurence of Oakland | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Prosthetic/Orthotic Supplier
- Concord, CA
- NPI 1346426954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1982882155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091310",
"telephone_number": "510-658-2062",
"fax_number": "510-658-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 TELEGRAPH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091310",
"telephone_number": "510-658-2062",
"fax_number": "510-658-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTERWOOD",
"first_name": "PAUL",
"middle_name": "M",
"credential": "BOC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-09",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC",
"identifier": "C26329",
"state": null
}
],
"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 Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.