Healthcare Provider Details

I. General information

NPI: 1992637292
Provider Name (Legal Business Name): AURORA D MAMEA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 CAPP ST
SAN FRANCISCO CA
94110-1210
US

IV. Provider business mailing address

3124 INTERNATIONAL BLVD
OAKLAND CA
94601-2902
US

V. Phone/Fax

Practice location:
  • Phone: 510-434-4400
  • Fax:
Mailing address:
  • Phone: 510-434-5464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: