Mr Harold L Jefferson, is a
Community Health Worker based in Oakland, California. Mr Harold L Jefferson is licensed to practice in California (license number ) and his current practice location is
2540 Charleston St, Oakland Day Treatment, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 531-3666.
NPI number for Mr Harold L Jefferson is 1649552936 and his current mailing address is 2828 Ford St, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649552936.
Healthcare Provider's Profile
| Full Name | Mr Harold L Jefferson |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 2540 Charleston St, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1649552936
- Provider Enumeration Date: 09/13/2011
- Last Update Date: 05/30/2023
Medical Identifiers
Medical identifiers for Mr Harold L Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649552936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Harold L Jefferson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Harold L Jefferson,
2828 Ford St,
Oakland, CA 94601-2114
Ph: (510) 407-6667 | Mr Harold L Jefferson,
2540 Charleston St, Oakland Day Treatment,
Oakland, CA 94602-2508
Ph: (510) 531-3666 |
Reviews and Comments