MR. OMAR COLTRANE STAPLES P.A. NPI 1700931631

NPI Information

NPI: 1700931631
Provider Name: MR. OMAR COLTRANE STAPLES, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
5709 MARKET ST
OAKLAND, CA
ZIP 94608
Phone: (510) 444-9460
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MR. Omar Coltrane Staples, P.A. is a medical physician assistant in Oakland, CA. MR. Omar Coltrane Staples, P.A. NPI is 1700931631. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5709 MARKET ST
OAKLAND, CA
ZIP 94608-811
Phone: (510) 444-9460
Fax: (510) 444-1966

The NPI 1700931631 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 1/23/2007 and was last updated on 7/8/2007.

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	363AM0700X	Physician Assistant	Medical	PA16192	CALIFORNIA	Yes

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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