KOODRUT PANESAR B.S. NPI 1285229666

NPI Information

  • NPI: 1285229666
  • Provider Name: KOODRUT PANESAR, B.S.
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2545 SAN PABLO AVE
    OAKLAND, CA
    ZIP 94612
  • Phone: (510) 446-7150

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NPI Details

Koodrut Panesar, B.S. is an addiction (substance use disorder) counselor in Oakland, CA. Koodrut Panesar, B.S. NPI is 1285229666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2545 SAN PABLO AVE
OAKLAND, CA
ZIP 94612-121
Phone: (510) 446-7150

The enumeration date for this NPI number is 3/7/2021 and was last updated on 10/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramCALIFORNIANo
2101YM0800XCounselorMental HealthCALIFORNIANo
3101YA0400XCounselorAddiction (Substance Use Disorder)SUDRC22829CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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