MEDICARE: ACACIA A B JERMANY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		CA

General Provider Information

NPI Number	:	1164354890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ACACIA A B JERMANY

Provider Business Mailing Address
First Line	:	1144 82ND AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94621-2430
Country	:	US
Telephone Number	:	510-355-2962
Fax Number	:

Provider Business Practice Location Address
First Line	:	1144 82ND AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94621-2430
Country	:	US
Telephone Number	:	510-355-2962
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “ ACACIA A B JERMANY ” Practice Location

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