MARTINEZ VAMC (NPI# 1023058609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023058609 |
| Entity Type | Organization |
| Organization Name | MARTINEZ VAMC |
| Other Organization Name | OAKLAND VA CBOC |
| Practice Address |
2221 Martin Luther King Jr Way Oakland CA 94612-1318 |
| Mailing Address |
Po Box 94412 Cleveland OH 44101-4412 |
| Practice Telephone | 7023413020 |
| Mailing Telephone | 7023413020 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2017-11-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Oakland VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851943104 | Martinez Vamc | Clinic/Center | 11985 Heritage Oak Pl Ste 100, Auburn, CA 95603-2413 | 2019-07-16 |
| 1073064408 | Martinez Vamc | Clinic/Center | 2860 Howe Rd, Martinez, CA 94553-4000 | 2016-10-20 |
| 1144638958 | Martinez Vamc | Clinic/Center | 101 East Oberlin Road, Yreka, CA 96097-9645 | 2014-07-24 |
| 1447523196 | Martinez Vamc | Clinic/Center | 425 Plumas Blvd, Yuba City, CA 95991-5074 | 2012-02-10 |
| 1598713703 | Martinez Vamc | Department of Veterans Affairs (VA) Pharmacy | 1601 Concord Avenue, Chico, CA 95928-9487 | 2006-05-04 |
| 1972995306 | Martinez Vamc | Clinic/Center | 525 21st St, Oakland, CA 94612-1605 | 2015-02-23 |
| 1033501465 | Martinez Vamc | Clinic/Center | 760 Cypress Ave, Suite 100, Redding, CA 96001-2732 | 2015-02-23 |
| 1124410550 | Martinez Vamc | Clinic/Center | 254 Cohasset Rd, Suite 20, Chico, CA 95926-2290 | 2015-02-23 |
| 1194826685 | Martinez Vamc | General Acute Care Hospital | 150 Muir Rd, Martinez, CA 94553-4668 | 2006-09-26 |
| 1225071756 | Martinez Vamc | Clinic/Center | 5342 Dudley Blvd, Mcclellan Air Force Base Building 88, Mcclellan, CA 95652-1012 | 2006-06-13 |
| Street Address |
2221 MARTIN LUTHER KING JR WAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710960521 | Erica Lynn Trimble | Nurse Practitioner | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2005-11-25 |
| 1083237218 | Lyda Hartness | Social Worker | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2020-05-21 |
| 1801453873 | Timothy Tran | Dietitian, Registered | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2019-05-23 |
| 1013574623 | Julianne Rebecca Yujen Lee | Pharmacist | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2019-05-20 |
| 1295255362 | Blanca Marquez | Social Worker | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2017-06-21 |
| 1326429770 | Amber Colic | Nurse Practitioner | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2015-06-11 |
| 1548669609 | Mary Cradick | Pharmacist | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2014-08-14 |
| 1790089845 | Malissa Blake Konner | Social Worker | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2011-01-04 |
| 1043473754 | Jill Nicole Jones | Physical Therapist | 2221 Martin Luther King Jr Way, Oakland, CA 94612-1318 | 2008-07-03 |
| 1770745093 | Alix A. Magloire | Internal Medicine | 2221 Martin Luther King Jr Way, Department of Veterans Affairs 111/oak, Oakland, CA 94612-1318 | 2008-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811536675 | Kenya Massey | Clinic/Center | 1301 Clay St, Oakland, CA 94612-5200 | 2019-12-27 |
| 1972995306 | Martinez Vamc | Clinic/Center | 525 21st St, Oakland, CA 94612-1605 | 2015-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378030 | Long Beach Vamc | Clinic/Center | 1149 W 190th St Ste 100, Gardena, CA 90248-4321 | 2020-02-21 |
| 1841831617 | West Los Angeles Vamc | Clinic/Center | 7 W Foothill Blvd Ste D, Arcadia, CA 91006-2367 | 2019-10-03 |
| 1255972303 | William Loushion Mccollum | Clinic/Center | 831 Gulf Ave, Wilmington, CA 90744-4201 | 2019-09-30 |
| 1851943104 | Martinez Vamc | Clinic/Center | 11985 Heritage Oak Pl Ste 100, Auburn, CA 95603-2413 | 2019-07-16 |
| 1073064408 | Martinez Vamc | Clinic/Center | 2860 Howe Rd, Martinez, CA 94553-4000 | 2016-10-20 |
| 1548651516 | Loma Linda Vamc | Clinic/Center | 1273 W Hobsonway, Blythe, CA 92225-1423 | 2015-02-12 |
| 1538550694 | Long Beach Vamc | Clinic/Center | 888 West Santa Ana Blvd, Suite 150, Santa Ana, CA 92701-4592 | 2015-02-11 |
| 1780089847 | Yin Yang Health Care | Clinic/Center | 538 S Murphy Ave, Sunnyvale, CA 94086-6116 | 2014-10-30 |
| 1144638958 | Martinez Vamc | Clinic/Center | 101 East Oberlin Road, Yreka, CA 96097-9645 | 2014-07-24 |
| 1447523196 | Martinez Vamc | Clinic/Center | 425 Plumas Blvd, Yuba City, CA 95991-5074 | 2012-02-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.