| Osita Health Clinic | |
|
2521 Seminary Ave Ste 1 Oakland CA 94605-1307 | |
| (510) 777-1000 | |
| Not Available |
| Full Name | Osita Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2521 Seminary Ave Ste 1, Oakland, California |
| Authorized Official Name and Position | Christiana Umeh (NURSE PRACTITIONER) |
| Authorized Official Contact | 5107771000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osita Health Clinic 2521 Seminary Ave Oakland CA 94605-1307 Ph: () - | Osita Health Clinic 2521 Seminary Ave Ste 1 Oakland CA 94605-1307 Ph: (510) 777-1000 |
| NPI Number | 1649743345 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 08/26/2019 |
| Medicare PECOS PAC ID | 4981038692 |
|---|---|
| Medicare Enrollment ID | O20200103001786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649743345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Josephine Nwannekaego Agbowo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457635740 PECOS PAC ID: 8628224847 Enrollment ID: I20120803000293 |
| Provider Name | Danielle Cherie Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821404344 PECOS PAC ID: 6103198874 Enrollment ID: I20170816001897 |
| Provider Name | Christiana Umeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750798682 PECOS PAC ID: 4789018490 Enrollment ID: I20200409000065 |
| Provider Name | Irmarita Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669072328 PECOS PAC ID: 6800276080 Enrollment ID: I20220706000709 |
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