EGBE IYABO OMOREGIE


Address: 1411 E 31st St, Oakland, CA 94602-1018
Phone: 5105357382

EGBE IYABO OMOREGIE (NPI# 1962015701) 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) 1962015701
Entity Type Individual
Full Name EGBE IYABO OMOREGIE
Credential NP
Practice Address 1411 E 31st St
Oakland
CA 94602-1018
Practice Telephone 5105357382
Enumeration Date 2020-08-30
Last Update Date 2020-08-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner NP95013296 CA Physician Assistants & Advanced Practice Nursing Providers

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
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
1396356762 Jermaine Robertson Student in an Organized Health Care Education/Training Program 1411 E 31st St, Oakland, CA 94602-1018 2020-08-11
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 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124402888 Christine Wilson Nurse Practitioner 710 Regina Cir, Oakland, FL 34787-8961 2015-07-13
1063756997 Christine Michelle Huffner Nurse Practitioner 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 2012-11-15
1750523767 Cara Susan Stone Nurse Practitioner 1682 7th St, Oakland, CA 94607-1351 2009-04-06
1275789935 Tippini Lott Nurse Practitioner 14101 Hickory Street, Oakland, MS 38948-0000 2008-08-13
1861607764 Lisa Marie Thompson Nurse Practitioner 3541 E. 12th Street, Oakland, CA 94601 2007-05-14
1700986056 Katherine Anne Rhodes Nurse Practitioner 4351 Broadway, Oakland, CA 94611-4612 2006-09-25
1477667798 Emerlinda Imperio Nurse Practitioner 19 Yawpo Ave, Oakland, NJ 07436-2739 2006-08-17
1629092945 Kelly A. Maris-weissburg Nurse Practitioner 80 Grand Ave Ste 602, Oakland, CA 94612-3744 2006-07-27
1730108309 Mitchell D'arata Nurse Practitioner 3100 Summit Street, Oakland, CA 94609-0000 2006-07-18
1548205115 Rebecca N. Faith Nurse Practitioner 350 30th St Ste 320, Oakland, CA 94609-3425 2006-06-18
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Competitor

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City OAKLAND
Zip Code 94602

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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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