Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mederva Medical Corporation

Organization Mental Health Counselor · NPI 1417778713

Mederva Medical Corporation is a Mental Health Counselor in Oakland, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4

Practice location Address checks out

4212 Balfour Ave
Oakland, CA 94610-1750
Phone: (954) 654-2857
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Mental Health Counselor Taxonomy 101YM0800X
Internal Medicine Physician Taxonomy 207R00000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1417778713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammed Kaleel — Owner · (954) 654-2857
NPI enumeratedOctober 18, 2024
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing address4212 Balfour Ave, Oakland, CA 94610-1750

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