BROOKE STEPHANIAN
NPI 1902640881
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since June 24, 2024
1411 E 31ST ST, OAKLAND, CA 94602(510) 437-4800 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 23, 2026, Jun 24, 2024 (2 updates tracked since 2024).

About Brooke Stephanian NPPES

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

BROOKE STEPHANIAN (NPI 1902640881) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1902640881
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBROOKE STEPHANIAN
Location Address1411 E 31ST STOakland, CA 94602-1018
Mailing Address1411 E 31st StOakland, CA 94602-1018 · (510) 437-4800
Sole ProprietorNo
Enumeration DateJune 24, 2024
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
NPI 1902640881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1411 E 31ST ST, Oakland, CA 94602

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.

Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Clinical Nurse Specialist (Emergency)
1411 E 31ST ST
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602
Emergency Medicine
1411 E 31ST ST
OAKLAND, CA 94602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902640881, enumerated as an "individual" on June 24, 2024.

The provider is located at 1411 E 31ST ST OAKLAND, CA 94602 and the phone number is (510) 437-4800.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.