1. Home
  2. Directory
  3. California
  4. Oakland
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

LAKEIDA MASTERS
NPI 1639742091
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since July 22, 2021
390 40TH ST, OAKLAND, CA 94609(510) 653-5040 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2024, Jul 22, 2021 (2 updates tracked since 2021).

About Lakeida Masters NPPES

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

LAKEIDA MASTERS (NPI 1639742091) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since July 2021. She maintains a secondary practice location in Pittsburg.

NPPES Registry Identity

NPI1639742091
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLAKEIDA MASTERS
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 653-5040
Phone(510) 653-5040
Sole ProprietorNo
Enumeration DateJuly 22, 2021
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1639742091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselorTaxonomy 101Y00000X
390 40TH ST, Oakland, CA 94609
Open in Google Maps ↗

Secondary Practice Location 1

Location 11122 E Leland Rd Apt 151Pittsburg, CA 94565-7512 · Phone (510) 253-3529

Other Identifiers 1

Medicaid1411033663CA

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.

THUYMINH NGUYEN
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
NOAH MERL
Social Worker
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
VIRGIL GABA BAGAOISAN
Counselor (Addiction (Substance Use Disorder))
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 306-5361
DANIELLE CHRISJAN STAUFFER
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 723-1907
KIMBERLY ESPINOZA
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
AUJANAE JACKSON
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
KIMBERLY JANE GATLIN
Adult Companion
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
SHALIMAR FAYEZ BOULOS LCSW, MSW, MPH
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330

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 Lakeida Masters's NPI number?

The NPI number for Lakeida Masters is 1639742091. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Where is Lakeida Masters located?

Lakeida Masters practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 653-5040.

What is Lakeida Masters's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lakeida Masters was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.