THEODORE OWEN ATWOOD
NPI 1912533571
Counselor in Oakland, CA
About Theodore Owen Atwood NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE OWEN ATWOOD (NPI 1912533571) is an individual counselor in Oakland, California, licensed in California (93126) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theodore Owen Atwood is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theodore Atwood reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Theodore Atwood's NPI number?
The NPI number for Theodore Atwood is 1912533571. It was assigned to this individual provider in the NPPES registry on March 16, 2020.
Where is Theodore Atwood located?
Theodore Atwood practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 613-0330.
What is Theodore Atwood's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Theodore Atwood enrolled in Medicare?
Yes. Theodore Atwood is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theodore Atwood's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Atwood reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Atwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theodore Atwood was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Theodore Owen Atwood · NPI 1912533571
Counselor provider in Oakland, California. Individual provider, active in the CMS NPPES registry since March 16, 2020.
## Identity
- **NPI:** 1912533571 (Entity type: Individual)
- **Enumerated:** March 16, 2020
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **State license:** 93126 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 390 40TH ST, Oakland, CA 94609-2633
- **Phone:** (510) 613-0330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1912533571) · Data from the CMS NPPES public registry.