EAST OAKLAND OBS GYN MED GP INC (NPI# 1447250998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447250998 |
| Entity Type | Organization |
| Organization Name | EAST OAKLAND OBS GYN MED GP INC |
| Practice Address |
9925 International Blvd Ste 1 Oakland CA 94603 |
| Mailing Address |
Po Box 6097 Oakland CA 94603-0097 |
| Practice Telephone | 5106381250 |
| Practice Fax Number | 5106382590 |
| Mailing Telephone | 5106381250 |
| Mailing Fax Number | 5106382590 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EDWARD CHARLES LAMPLEY SR. (PRESIDENT) |
| Authorized Official Telephone | 5106381258 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G100160 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G100160 | 05 |
| Street Address |
9925 INTERNATIONAL BLVD STE 1 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912539966 | Keyona Boykin | Nurse Practitioner | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-02-07 |
| 1861023640 | Kayla Perry | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1558992347 | Raven Dixon | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1831720630 | Macy Dion Harris | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1073144812 | Kye Duren | Case Management | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-30 |
| 1699305565 | Phyllis Marie Brown-little | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-20 |
| 1104466549 | Tavare Williams Sr. | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2020-01-14 |
| 1477196210 | Rafael Kenney | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2019-10-24 |
| 1174177679 | Megan Richardson | Family Medicine | 9925 International Blvd, Oakland, CA 94603-2558 | 2019-08-01 |
| 1679134993 | Julion Narvell Lillard | Case Manager/Care Coordinator | 9925 International Blvd, Oakland, CA 94603-2558 | 2019-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235694092 | Kimberlyn Taylor | Behavioral Analyst | 11042 Robledo Dr, Oakland, CA 94603 | 2019-02-06 |
| 1114414315 | Christopher Maurice Cain | Community Health Worker | 9925 International Blvd #5, Oakland, CA 94603 | 2018-04-13 |
| 1720508039 | Jessie James King Jr. | Counselor | 9925 International Blvd Suite #5, 9925 International Blvd Suite #5, Oakland, CA 94603 | 2017-06-27 |
| 1619426475 | Susana Obispo | Counselor | 10429 International Boulevard, Oakland, CA 94603 | 2016-09-22 |
| 1760764955 | Paul E Rammer | Marriage & Family Therapist | 1523 Chandler Street, Oakland, CA 94603 | 2011-09-13 |
| 1285184846 | Sharrise Williams | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
| 1659821213 | Linna Hov | Counselor | 10429 International Blvd, Oakland, CA 94603 | 2016-10-07 |
| 1699729426 | Robert Scott Millard | Physical Medicine & Rehabilitation | 500 Arguello Street, Suite 100, Redwood City, CA 94603 | 2006-05-19 |
| 1982920542 | Alwaha Travel Agency for Hajj and Umrah LLC | Non-emergency Medical Transport (VAN) | 60 98th Ave Ste 100, Oakland, CA 94603-1000 | 2010-04-07 |
| 1336637644 | Carlos Leonel Lopez | Technician, Other | 301 Clara St, Oakland, CA 94603-1101 | 2018-04-23 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164798625 | Rachel Anne Yakrus | Obstetrics & Gynecology | 365 Hawthorne Ave # Mdc41, Oakland, CA 94609-3107 | 2012-03-29 |
| 1508165754 | Rachna Vanjani | Obstetrics & Gynecology | Highland Hospital - Department of Obgyn, 1411 East 31st Street, Oakland, CA 94602 | 2011-03-26 |
| 1801125406 | Monica Berletti | Obstetrics & Gynecology | 490 Grand Ave, Oakland, CA 94610-5057 | 2009-12-10 |
| 1811125016 | Sara Livingston Johnson | Obstetrics & Gynecology | 3451 East 12th St, Transit Village Women's 2nd Floor, Oakland, CA 94601-3425 | 2009-06-25 |
| 1336346691 | Abigail Therese Feathers | Obstetrics & Gynecology | 880 Memorial Dr Lowr Level, Oakland, MD 21550-5101 | 2007-06-29 |
| 1124179841 | Jennifer Leigh Pettigrew Schmitt | Obstetrics & Gynecology | 280 W Mac Arthur Blvd, Oakland, CA 94611 | 2007-01-16 |
| 1528118262 | Ruth Olweny | Obstetrics & Gynecology | 280 West Mac Arthur Blvd., Kaiser Oakland Medical Center, Oakland, CA 94611 | 2007-01-12 |
| 1669550455 | Arthur F. Levit | Obstetrics & Gynecology | 2137 Tiffin Rd, Oakland, CA 94602-2537 | 2006-11-01 |
| 1528141306 | Michellee Shaw Chen | Obstetrics & Gynecology | 350 30th St Ste 205, Oakland, CA 94609-3425 | 2006-10-23 |
| 1265528053 | Kris Yogam | Obstetrics & Gynecology | 400, 30th. Street, #207, Oakland, CA 94609 | 2006-10-05 |
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| 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.