MEDICARE: DAVID FERRAZARES

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	208000000X	Pediatrics Physician	A60620	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ29799Z	OTHER	CA	FQHC MEDICARE PART B
2	55-1975	OTHER	CA	FQHC MEDICARE PART A

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	HAP71021F	OTHER	CA	FPACT

General Provider Information

NPI Number	:	1669576294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID FERRAZARES

Provider Business Mailing Address
First Line	:	1601 FRUITVALE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94601-2418
Country	:	US
Telephone Number	:	510-535-4000
Fax Number	:	510-535-4128

Provider Business Practice Location Address
First Line	:	3451 E 12TH ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94601-3463
Country	:	US
Telephone Number	:	510-535-3600
Fax Number	:	510-535-4247

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	12/27/2021

Similar Medicare Providers

1174473763 — SANDRA NUNEZ GRANGER RN
Practice Location Address:

3451 E 12TH ST
OAKLAND, CA
94601-3463

Practice Phone: 510-535-3500
Practice Fax:

1114877693 — MS. JOCELYN YADEL DIAZ RN
Practice Location Address:

3451 E 12TH ST
OAKLAND, CA
94601-3463

Practice Phone: 510-535-3500
Practice Fax:

1922101237 — PAUL J. BAYARD MD
Practice Location Address:

3451 E 12TH ST , 2ND FLOOR
OAKLAND, CA
94601-3463

Practice Phone: 510-535-3500
Practice Fax: 510-535-4187

1841398542 — CHRISTINE VALENTINA FRATINO DO
Practice Location Address:

3451 E 12TH ST
OAKLAND, CA
94601-3463

Practice Phone: 510-535-4000
Practice Fax: 510-535-4128

1053499665 — MARK F. ROBB MD
Practice Location Address:

3451 E 12TH ST FL 2
OAKLAND, CA
94601-3463

Practice Phone: 510-535-3500
Practice Fax:

1346309697 — AMY MARGRETHE WILLATS RN, CNM, NP
Practice Location Address:

3451 E 12TH ST
OAKLAND, CA
94601-3463

Practice Phone: 510-535-4000
Practice Fax:

Directions to “ DAVID FERRAZARES ” 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.