| Shelia Amos Lastie, | |
|
725 Washington St, Oakland, CA 94607-3924 | |
| (510) 322-0137 | |
| Not Available |
| Full Name | Shelia Amos Lastie |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 725 Washington St, Oakland, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023320496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMFT90474 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelia Amos Lastie, 484 Lake Park Ave # 452, Oakland, CA 94610-2730 Ph: (510) 322-0137 | Shelia Amos Lastie, 725 Washington St, Oakland, CA 94607-3924 Ph: (510) 322-0137 |
Mr. Macheo Kahil Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9736 Lawlor St, Oakland, CA 94605 Phone: 510-562-1052 | |
Michele Mabry Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 30th St, #314, Oakland, CA 94609 Phone: 510-273-4200 | |
Ms. Shadavia France, Counselor Medicare: Not Enrolled in Medicare Practice Location: 510 16th St, Oakland, CA 94612 Phone: 818-815-7180 | |
Mr. James Kaufman, MFT INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 560 Oakland Ave, Ste C, Oakland, CA 94611 Phone: 415-786-1537 Fax: 208-361-2286 | |
Savannah Rose O'neill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10850 Macarthur Blvd, Oakland, CA 94605 Phone: 510-875-2300 Fax: 510-875-2310 | |
Miss Julianna Kristina Dragos, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Fairmount Ave, Oakland, CA 94611 Phone: 510-839-3769 | |
Thuyminh Nguyen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 40th St, Oakland, CA 94609 Phone: 510-653-5040 Fax: 510-653-6475 |