OWEN SHIBATA


Address: 2100 Embarcadero, Oakland, CA 94606-5302
Phone: 8002684420

OWEN SHIBATA (NPI# 1396019303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396019303
Entity Type Individual
Full Name OWEN SHIBATA
Credential MD
Practice Address 2100 Embarcadero
Oakland
CA 94606-5302
Mailing Address 632 Palomino Dr
Pleasanton
CA 94566-6814
Practice Telephone 8002684420
Mailing Telephone 9253995422
Enumeration Date 2012-03-08
Last Update Date 2012-03-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice G66533 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 2100 EMBARCADERO
City OAKLAND
State CA
Zip Code 94606-5302

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NPI Name Taxonomy Address Enumeration
1366923369 Rhummanee Hang Case Manager/Care Coordinator 544 International Blvd., Suite #9, Oakland, CA 94606 2018-08-27
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1609236686 Erik D Grasso Behavioral Analyst 1340 East 28th St., Suite C, Oakland, CA 94606 2016-03-03
1457770935 Jessica Robin Gar Ling Leung Family Medicine 250 E. 18th Street, 2nd Floor, Oakland, CA 94606 2014-04-10
1902230709 Masja Van Der Hoog Acupuncturist 1511 23rd Ave, Apt 10, Oakland, CA 94606 2013-08-28
1063756997 Christine Michelle Huffner Nurse Practitioner 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 2012-11-15
1336418920 Alexandra Elisabeth Brewster Counselor 907 Lake Street San Pablo Avenue, San Pablo, CA 94606 2011-12-28
1780964064 Meagen Elizabeth Grundberg Community Health Worker 544 International Blvd Ste 9, Oakland, CA 94606 2011-08-18
1285764217 Nguyen Tran Dang, Dds, Inc. Dentist 270 East 12th St., Oakland, CA 94606 2007-03-07
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588121537 Recode Health General Practice 1850 Mountain Blvd, Oakland, CA 94611-2265 2019-02-26
1033661962 Michael Mustille General Practice 6201 Swainland Rd, Oakland, CA 94611-1841 2016-10-26
1659753614 Wanda Heffernon General Practice 2360 Scout Rd, Oakland, CA 94611-2724 2015-06-25
1457798159 Gregory Allen Niederhauser General Practice 1541 W Buell Rd, Oakland, MI 48363-2331 2013-06-04
1720334279 Luyen V. Ta, M.d., Inc/tuong-vi Ta, M.d. General Practice 341 9th Street, Suite A, Oakland, CA 94607 2012-08-01
1629334032 Kristian Shinyu Gima General Practice 1438 3rd St Unit B, Oakland, CA 94607-1806 2012-04-10
1548415979 John Karl Konstantin General Practice 2584 Macarthur Blvd, Oakland, CA 94602-2928 2008-11-26
1790909588 Edward Sanders General Practice 3706 Telegraph Ave, Oakland, CA 94609-2418 2007-04-12
1700943412 Anh Trung Do General Practice 919 Harrison Street, Suite A, Oakland, CA 94607-4494 2007-01-02
1386722262 Horng D Fan General Practice 2648 International Blvd, Ste 501, Oakland, CA 94601-1506 2006-11-01
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Competitor

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City OAKLAND
Zip Code 94606

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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