Healthcare Provider Details

I. General information

NPI: 1396245064
Provider Name (Legal Business Name): KIMBERLY DIONNE OJA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2018
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2637 SHADELANDS DR
WALNUT CREEK CA
94598-2512
US

IV. Provider business mailing address

2637 SHADELANDS DR
WALNUT CREEK CA
94598-2512
US

V. Phone/Fax

Practice location:
  • Phone: 925-378-4517
  • Fax: 925-273-7255
Mailing address:
  • Phone: 925-378-4517
  • Fax: 925-273-7255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number85124
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: