Omar Staples, P.A

NPI 1700931631 · on the registry since 2007 · sole proprietor

Practice

Address: 5709 Market St
Oakland, CA 94608
Phone: (510) 444-9460
Fax: (510) 444-1966
Organisation at this address: Preventive Care Pathways
Preventive Care Pathways
The West Oakland Health Council
Preventive Care Network Medical Services, Inc.
Advanced Physical Medicine And Rehabilitaion Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California