DR. ANN MARGARET PETRU M.D. NPI 1568490878

NPI Information

NPI: 1568490878
Provider Name: DR. ANN MARGARET PETRU, M.D.
Classification: Pediatrics - 2080P0208X
Entity Type: Individual

Specialization: Pediatric Infectious Diseases

PECOS Registration: Yes

Address:
747 FIFTY-SECOND STREET
OAKLAND, CA
ZIP 94609
Phone: (510) 428-3337
Get Directions

DR. Ann Margaret Petru, M.D. is a pediatric infectious diseases pediatrics in Oakland, CA. The provider is a pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. DR. Ann Margaret Petru, M.D. NPI is 1568490878. 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:

747 FIFTY-SECOND STREET
OAKLAND, CA
ZIP 94609-809
Phone: (510) 428-3337
Fax: (510) 601-3957

The NPI 1568490878 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 3/8/2013.

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
1	208000000X	Pediatrics		G40627	CALIFORNIA	No
2	2080P0208X	Pediatrics	Pediatric Infectious Diseases	G40627	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CGP 089750	OTHER	CALIFORNIA	CCS PROVIDER NUMBER
2	CGP160130	OTHER	CALIFORNIA	CCS CONSULTANT NUMBER
3	00G406270	MEDICAID	CALIFORNIA
4	AP8917277	OTHER		DEA NUMBER
5	9407418	MEDICARE UPIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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