Individual provider · Type 1 NPI
Egbebalakhamen Iyabo Omoregie, NP
Nurse Practitioner · Oakland, CA
Practice location
1411 E 31st St
Oakland, CA 94602-1018
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Other practice locations
- 300 Pasteur Dr, Stanford, CA 94305-2200 · (650) 723-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP95013296 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1962015701
Egbebalakhamen Iyabo Omoregie, NP's National Provider Identifier is 1962015701, issued on Aug 30, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oakland, CA. The record was last updated on Feb 6, 2026.