| Mr Omar Coltrane Staples, PA | |
|
5709 Market St, Oakland, CA 94608-2811 | |
| (510) 444-9460 | |
| (510) 444-1966 |
| Full Name | Mr Omar Coltrane Staples |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 5709 Market St, Oakland, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700931631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA16192 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Post Acute Rehabilitation Physicians Llc | 7214334614 | 44 |
| Entity Name | SNF Wound Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114393311 PECOS PAC ID: 1759699176 Enrollment ID: O20151006000251 |
| Entity Name | California Post-acute Medical Group 1 Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265971949 PECOS PAC ID: 5991072738 Enrollment ID: O20170525001727 |
| Entity Name | Ca Pacs 2 Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801372669 PECOS PAC ID: 4981954476 Enrollment ID: O20180904002122 |
| Entity Name | Vital Total Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386107928 PECOS PAC ID: 7911234356 Enrollment ID: O20190808001266 |
| Entity Name | Tyrone E Snipes D O Internal Medicine Primary Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922619352 PECOS PAC ID: 6103235650 Enrollment ID: O20210512003180 |
| Entity Name | Post Acute Rehabilitation Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023781028 PECOS PAC ID: 7214334614 Enrollment ID: O20230103001459 |
| Entity Name | Post Acute Rehabilitation Doctors PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164156931 PECOS PAC ID: 5496298358 Enrollment ID: O20240619002330 |
| Entity Name | CS Pacs 3 Ca Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922775360 PECOS PAC ID: 1153843180 Enrollment ID: O20250319003700 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Omar Coltrane Staples, PA 5709 Market St, Oakland, CA 94608-2811 Ph: (510) 444-9460 | Mr Omar Coltrane Staples, PA 5709 Market St, Oakland, CA 94608-2811 Ph: (510) 444-9460 |
Ms. Sherrie Ann Shiota, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3885 Fax: 510-597-7169 |
Emily Eisenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1411 E 31st St, Oakland, CA 94602 Phone: 510-437-4800 |
Rebecca Roisman Armstrong, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1144 65th St Ste F, Oakland, CA 94608 Phone: 510-929-1400 Fax: 510-929-1414 |
Dawn H Resney-deems, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000 Fax: 510-752-1758 |
Kristen Lynn Smol, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 616 16th St, Oakland, CA 94612 Phone: 510-563-4300 |
Linda Irene Villarreal, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000 |
Yoo Min Yoon, Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 30th St, Oakland, CA 94609 Phone: 510-869-9200 |