DR. EDWARD OKLAN M.D.
NPI 1083677686
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Rafael, CA

Q: What is Edward Oklan's NPI number?

The NPI number for Edward Oklan is 1083677686. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Edward Oklan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: Is Edward Oklan enrolled in Medicare?

No. Edward Oklan has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Edward Oklan was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2006Opted out of Medicare · through May 16, 2028

454 LAS GALLINAS AVE, STE. 289, SAN RAFAEL, CA 94903(415) 453-1797(415) 453-0985 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Edward Oklan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD OKLAN M.D. (NPI 1083677686) is an individual child & adolescent psychiatry provider in San Rafael, California, licensed in California (G027561) and active in the NPI registry since April 2006. He has opted out of Medicare through May 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083677686

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. EDWARD OKLANCredential: M.D.

Location Address454 LAS GALLINAS AVE, STE. 289San Rafael, CA 94903-3618

Mailing Address454 Las Gallinas Ave, Ste. 289San Rafael, CA 94903-3618 · (415) 453-1797 · Fax (415) 453-0985

Phone(415) 453-1797

Fax(415) 453-0985

Sole ProprietorYes

Enumeration DateApril 6, 2006

Last NPPES UpdateSeptember 2, 2016

✔ NPI 1083677686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · G027561

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License G027561 (CA)

454 LAS GALLINAS AVE, San Rafael, CA 94903

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Edward Oklan M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 16, 2016 through May 16, 2028.

Opt-Out Effective DateMay 16, 2016

Opt-Out In Effect ThroughMay 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH CATHERINE QUESNELL LCSW

Social Worker (Clinical)

454 LAS GALLINAS AVE, #2016
SAN RAFAEL, CA 94903

Marin County (707) 641-1900

MARK D LEVINE M.S.

Behavior Analyst

454 LAS GALLINAS AVE, SUITE 131
SAN RAFAEL, CA 94903

Marin County (415) 297-9190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Oklan's NPI number?

The NPI number for Edward Oklan is 1083677686. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Edward Oklan located?

Edward Oklan practices at 454 Las Gallinas Ave Ste. 289, San Rafael, CA 94903. The listed phone number is (415) 453-1797.

What is Edward Oklan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Edward Oklan enrolled in Medicare?

No. Edward Oklan has opted out of Medicare through May 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edward Oklan was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.