SUSANA OBISPO


Address: 10429 International Boulevard, Oakland, CA 94603
Phone: 5107778448

SUSANA OBISPO (NPI# 1619426475) 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) 1619426475
Entity Type Individual
Full Name SUSANA OBISPO
Practice Address 10429 International Boulevard
Oakland
CA 94603
Mailing Address 10429 International
Oakland
CA 94603
Practice Telephone 5107778448
Enumeration Date 2016-09-22
Last Update Date 2016-09-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 10429 INTERNATIONAL BOULEVARD
City OAKLAND
State CA
Zip Code 94603

Providers in the same zip code

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
1760764955 Paul E Rammer Marriage & Family Therapist 1523 Chandler Street, Oakland, CA 94603 2011-09-13
1447250998 East Oakland Obs Gyn Med Gp Inc Obstetrics & Gynecology 9925 International Blvd, Ste 1, Oakland, CA 94603 2005-07-27
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
1508148685 Kimberly Alston-stepnitz Counselor 9925 International Blvd, Oakland, CA 94603 2011-09-14
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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194330332 Sara M Haile Counselor 339 Lester Ave Apt B, Oakland, CA 94606-1335 2020-09-14
1891327490 Steven E Blackman Counselor 5701 Walnut St, Oakland, CA 94605-1050 2020-02-11
1437796851 Allen Temple Health & Social Services Ministry Counselor 8501 International Blvd., C-105, Oakland, CA 94621-1549 2019-12-04
1225670763 Greg Joseph Cesena Counselor 2321 International Blvd, Oakland, CA 94601-1018 2019-10-16
1588219877 Ramon Deandre Hall Counselor 8425 Macarthur Blvd, Oakland, CA 94605-3553 2019-08-05
1497300925 Sandra Campbell Counselor 7511 Hillside St, Oakland, CA 94605-2821 2019-08-01
1992357057 Christina Joi Jefferson Counselor 2815 West St, Oakland, CA 94608-4535 2019-07-09
1518525674 Ma Concepsion Rivera Gonzalez Counselor 1411 E 31st St Dept Oa1, Oakland, CA 94602-1018 2019-06-04
1952873184 Brenna Mchugh Counselor 5250 Redondo Ave, Oakland, CA 94618-1047 2018-12-28
1619447455 Elizabeth Niarhos Counselor 10850 Macarthur Blvd., Oakland, CA 94605 2018-12-04
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Competitor

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City OAKLAND
Zip Code 94603

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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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