Gregory Donald Isom, is a
Community Health Worker based in Oakland, California. Gregory Donald Isom is licensed to practice in * (Not Available) (license number ) and his current practice location is
401 Roland Way Ste 150, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 746-2800.
NPI number for Gregory Donald Isom is 1619674868 and his current mailing address is 801 Greenmont Dr, Vallejo, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619674868.
Healthcare Provider's Profile
Full Name | Gregory Donald Isom |
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Gender | Male |
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Speciality | Community Health Worker |
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Location | 401 Roland Way Ste 150, Oakland, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619674868
- Provider Enumeration Date: 02/08/2023
- Last Update Date: 08/23/2023
Medical Identifiers
Medical identifiers for Gregory Donald Isom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619674868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gregory Donald Isom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gregory Donald Isom, 801 Greenmont Dr, Vallejo, CA 94591-7642 Ph: (707) 205-6321 | Gregory Donald Isom, 401 Roland Way Ste 150, Oakland, CA 94621-2027 Ph: (510) 746-2800 |
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