RYAN DAVID OTTO (NPI# 1174845226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174845226 |
| Entity Type | Individual |
| Full Name | RYAN DAVID OTTO |
| Credential | PA |
| Practice Address |
275 W. Macarthur Blvd Suite 17 Oakland CA 94611 |
| Practice Telephone | 5107521155 |
| Mailing Telephone | 6508239384 |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2014-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA20845 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275860710 | Ryan Otto | Physical Therapist | 810 E 23rd St, Sioux Falls, SD 57105-2135 | 2009-11-04 |
| Street Address |
275 W. MACARTHUR BLVD SUITE 17 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154853190 | Tess Knudson-fitzpatrick | Student in an Organized Health Care Education/Training Program | 275 W. Macarthur Blvd, Kaiser Permanente Oakland Medical Center, Oakland, CA 94611-5641 | 2017-03-29 |
| 1740711514 | Shimoni Kacheria | Student in an Organized Health Care Education/Training Program | 275 W. Macarthur Blvd, Kaiser Permanente Oakland Medical Center, Oakland, CA 94611 | 2017-03-23 |
| 1073967469 | Prajakta Dilip Jaju | Student in an Organized Health Care Education/Training Program | 275 W. Macarthur Blvd, Kaiser Permanente Oakland Medical Center, Oakland, CA 94611 | 2016-04-21 |
| 1396109310 | Esme Cullen | Student in an Organized Health Care Education/Training Program | 275 W. Macarthur Blvd, Kaiser Permanente Oakland Medical Center, Oakland, CA 94611 | 2016-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1245855527 | Susan Solar Pers | Physician Assistant | 5818 Clover Dr, Oakland, CA 94618-1623 | 2020-06-11 |
| 1790322253 | Reta Samimi | Physician Assistant | 47 Anair Way, Oakland, CA 94605-4873 | 2019-12-04 |
| 1316408453 | Henry Chhiv | Physician Assistant | 928 Franklin St Apt 535, Oakland, CA 94607-4207 | 2019-03-29 |
| 1427523893 | Sarah Jean Backer | Physician Assistant | 1 Lakeside Dr Apt 701, Oakland, CA 94612-4647 | 2018-10-11 |
| 1558845891 | Abigail Romero | Physician Assistant | 47 Agnes St, Oakland, CA 94618-2522 | 2018-09-22 |
| 1932604428 | Meegan Ann Mccullagh | Physician Assistant | 9 Pleasant St., Oakland, ME 04963 | 2018-03-27 |
| 1164937884 | Erin Shea Hays | Physician Assistant | 1411 E 31st St # K7, Oakland, CA 94602-1018 | 2017-12-04 |
| 1407369689 | Kristinalisa Maka | Physician Assistant | 363 41st St, Oakland, CA 94609-2632 | 2017-11-10 |
| Find all providers in OAKLAND | ||||
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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.