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KOODRUT PANESAR B.S.
NPI 1285229666
Counselor - Addiction (Substance Use Disorder) in Oakland, CA

Active since March 07, 2021
2545 SAN PABLO AVE, OAKLAND, CA 94612(510) 446-7150 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2024, Mar 7, 2021 (2 updates tracked since 2021).

About Koodrut Panesar B.s. NPPES

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

KOODRUT PANESAR B.S. (NPI 1285229666) is an individual addiction (substance use disorder) provider in Oakland, California, licensed in California (SUDRC22829) and active in the NPI registry since March 2021. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1285229666
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKOODRUT PANESARCredential: B.S.
Location Address2545 SAN PABLO AVEOakland, CA 94612-1121
Mailing Address2545 San Pablo AveOakland, CA 94612-1121 · (510) 446-7150
Phone(510) 446-7150
Sole ProprietorNo
Enumeration DateMarch 7, 2021
Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1285229666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · SUDRC22829
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2545 SAN PABLO AVE, Oakland, CA 94612
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Secondary Practice Location 1

Location 1995 Gateway Center Way Ste 300San Diego, CA 92102-4550 · Phone (619) 398-2156

Other Providers at the Same Location NPPES 20

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

JACQUELINE SUSAN COOPER LMFT
Marriage & Family Therapist
2545 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7160
WONDERFUL A MORRIS
Counselor (Addiction (Substance Use Disorder))
2545 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7160
VERONICA YAZMIN ALLEN
Counselor (Addiction (Substance Use Disorder))
2545 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7160
NATASHA DIANNE ICKES SAMAN
Counselor (Addiction (Substance Use Disorder))
2545 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7160
EAST BAY COMMUNITY RECOVERY PROJECT
Substance Abuse Rehabilitation Facility
2545 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7160
LIFELONG MEDICAL CARE
Substance Abuse Rehabilitation Facility
2545 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7160
TATILLE JACKSON
Counselor (Addiction (Substance Use Disorder))
2545 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7160
MICHELLE APRIL TURNER
Counselor (Addiction (Substance Use Disorder))
2545 SAN PABLO AVE
OAKLAND, CA 94612
Alameda County (510) 446-7140

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 Koodrut Panesar's NPI number?

The NPI number for Koodrut Panesar is 1285229666. It was assigned to this individual provider in the NPPES registry on March 7, 2021.

Where is Koodrut Panesar located?

Koodrut Panesar practices at 2545 San Pablo Ave, Oakland, CA 94612. The listed phone number is (510) 446-7150.

What is Koodrut Panesar's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Koodrut Panesar was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.