DR. JERMAINE ROBERTSON


Address: 1411 E 31st St, Oakland, CA 94602-1018
Phone: 5104374800

DR. JERMAINE ROBERTSON (NPI# 1396356762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396356762
Entity Type Individual
Full Name DR. JERMAINE ROBERTSON
Credential MD
Practice Address 1411 E 31st St
Oakland
CA 94602-1018
Practice Telephone 5104374800
Mailing Telephone 5104374800
Enumeration Date 2020-08-11
Last Update Date 2020-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
505 Parnassus Ave, San Francisco, CA 941432204 4154761000

Other Providers JERMAINE ROBERTSON

NPI Name Taxonomy Address Enumeration
1407144124 Jermaine Tyron Robertson Psychologist 1512 Blountstown St, Tallahassee, FL 32304-1109 2011-07-14

Office Location

Street Address 1411 E 31ST ST
City OAKLAND
State CA
Zip Code 94602-1018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396733135 Andrea Elizabeth Williams Family Medicine 1411 E 31st St, Oakland, CA 94602-1018 2005-10-06
1972101186 Jennifer Pham Pharmacist 1411 E 31st St, Oakland, CA 94602-1018 2020-10-12
1922606276 Monica Mofidi Registered Nurse 1411 E 31st St, Oakland, CA 94602-1018 2020-10-09
1639785223 Mercedeh Nicole Vaez Dentist 1411 E 31st St, Oakland, CA 94602-1018 2020-09-18
1962015701 Egbe Iyabo Omoregie Nurse Practitioner 1411 E 31st St, Oakland, CA 94602-1018 2020-08-30
1275146672 Jessica Labioda Sohn Social Worker 1411 E 31st St, Oakland, CA 94602-1018 2020-08-25
1760093462 Himalina Rajanakhan Registered Nurse 1411 E 31st St, Oakland, CA 94602-1092 2020-08-14
1316558018 Lisa De La Cruz Registered Nurse 1411 E 31st St, Oakland, CA 94602-1018 2020-08-14
1700496437 Kathleen Puanani Hennessy Pharmacist 1411 E 31st St, Oakland, CA 94602-1018 2020-08-06
1013525484 Kyle Rosales Student in an Organized Health Care Education/Training Program 1411 E 31st St, Oakland, CA 94602-1018 2020-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376151845 Nicholas Collins Pac Lac Inc Acupuncturist 3433 Brunell Dr, Oakland, CA 94602 2020-07-21
1225667850 Elaine Dellinger Student in an Organized Health Care Education/Training Program Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 2020-04-06
1356804033 Jayakala Lakireddy Student in an Organized Health Care Education/Training Program Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 2019-04-10
1750844585 Kirea J Mazzolini Student in an Organized Health Care Education/Training Program Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 2019-04-09
1912478587 Joie Mazor Chiropractor 3201 Macarthur Blvd., Oakland, CA 94602 2018-12-07
1114424884 Jesse Santos Student in an Organized Health Care Education/Training Program Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 2018-04-10
1679078646 Tia Vang Student in an Organized Health Care Education/Training Program 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 2018-03-29
1942704101 Michael Mian Student in an Organized Health Care Education/Training Program 1411 E 31st St, Qic 22123, Oakland, CA 94602 2018-03-22
1063916575 Charisma Kaushik Student in an Organized Health Care Education/Training Program 1411 East 31st Street, Qic 22123, Oakland, CA 94602 2018-03-20
1841711363 David Christopher Carroll Pharmacist 1411 E. 31st Street, Oakland, CA 94602 2017-07-06
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750988762 Mohini Gadre Student in an Organized Health Care Education/Training Program Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 2020-10-02
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
1316553290 Yohannes Fesseha Gebrehiwet Student in an Organized Health Care Education/Training Program 2221 9th Ave, Oakland, CA 94606-2613 2020-09-16
1700490729 Briauna J Taylor Student in an Organized Health Care Education/Training Program 1638 47th Ave, Oakland, CA 94601-5273 2020-09-08
1578174116 Jenae Monasterial Student in an Organized Health Care Education/Training Program 1722 Clemens Rd, Oakland, CA 94602-1802 2020-08-16
1205447299 Brendan Mulligan Student in an Organized Health Care Education/Training Program 530 24th St Apt 202, Oakland, CA 94612-1723 2020-08-12
1962029595 Yuan Yan Student in an Organized Health Care Education/Training Program 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 2020-06-30
1043836778 Ali Khavari Student in an Organized Health Care Education/Training Program 450 30th St Ste 2860, Oakland, CA 94609-3302 2020-06-18
1952925208 Melodee Edith Au Student in an Organized Health Care Education/Training Program 2445 Telegraph Ave Apt 305, Oakland, CA 94612-2426 2020-06-02
1871116913 Stew Ellington Student in an Organized Health Care Education/Training Program 420 Avon St, Oakland, CA 94618-1024 2020-05-23
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 94602

Improve Information

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Dataset Information

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.

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