| NPI | 1356606529 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2012-07-12 |
| Last Updated | 2025-03-17 |
| Mailing Address | 747 52nd St Oakland, CA 94609-1809 United States Phone: (510) 428-3590 📍 View Map |
| Primary Practice Address | 747 52nd St Oakland, CA 94609-1809 United States Phone: (510) 428-3590 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 2084N0402X – Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | CA | 20A20888 |
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About NPI 1356606529
Keely M Fitzgerald DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1356606529. The primary specialty listed is Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology. The provider is located in Oakland, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-07-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1356606529?
NPI 1356606529 belongs to Keely M Fitzgerald DO, a Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Oakland, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1356606529 active?
The current status of NPI 1356606529 in the NPPES registry is Active. The record was last updated on 2025-03-17.
What specialty is NPI 1356606529?
NPI 1356606529 is classified under the taxonomy Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1356606529?
You can verify NPI 1356606529 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1356606529?
The primary practice address on file for NPI 1356606529 is 747 52nd St, Oakland, CA 94609-1809. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1356606529 issued?
NPI 1356606529 was first issued (enumerated) on 2012-07-12. The NPPES record was last updated on 2025-03-17.
Practice Location Map
Keely M Fitzgerald is located at 747 52nd St, Oakland, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Keely M Fitzgerald. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1356606529. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 20A20888 | CA |