MEDICARE: NORTH OAKLAND MEDICAL CLINIC A PROFESSIONAL CORP

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	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285696062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH OAKLAND MEDICAL CLINIC A PROFESSIONAL CORP

Provider Business Mailing Address
First Line	:	6105 SAN PABLO AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94608-2225
Country	:	US
Telephone Number	:	510-658-7660
Fax Number	:	510-658-5138

Provider Business Practice Location Address
First Line	:	6105 SAN PABLO AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94608-2225
Country	:	US
Telephone Number	:	510-658-7660
Fax Number	:	510-658-5138

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. ANITA L THOMPSON
Credential	:
Telephone Number	:	510-658-7660

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	11/10/2010

Similar Medicare Providers

1053923508 — TRALEE JOHNSON LMFT
Practice Location Address:

6363 CHRISTIE AVE APT 2225
EMERYVILLE, CA
94608-1947

Practice Phone: 510-654-9790
Practice Fax:

1467791467 — MS. LESLIE TORIN BONETT SP
Practice Location Address:

2225 ROSEDALE AVE
OAKLAND, CA
94601-4325

Practice Phone: 510-534-2750
Practice Fax:

1902457674 — MONICA MARIA ALCALA
Practice Location Address:

4049 CANON AVE
OAKLAND, CA
94602-2225

Practice Phone: 510-530-4893
Practice Fax:

1316588494 — LISA HIRE
Practice Location Address:

4049 CANON AVE
OAKLAND, CA
94602-2225

Practice Phone: 510-872-9584
Practice Fax:

1902431638 — THE FOUNDRY FOUNDATION, INC
Practice Location Address:

7360 OAKLAND HILLS DR
HIALEAH, FL
33015-2225

Practice Phone: 305-323-9892
Practice Fax:

1689479792 — KIMBERLY MELGAR
Practice Location Address:

2225 38TH AVE APT C
OAKLAND, CA
94601-3741

Practice Phone: 510-827-5252
Practice Fax:

Directions to “NORTH OAKLAND MEDICAL CLINIC A PROFESSIONAL CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.