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

Individual provider Medical Physician Assistant · NPI 1700931631

Mr. Omar Coltrane Staples, PA is a Physician Assistant in Oakland, California. Qualified in 2001, 25 years ago. Practices with Post Acute Rehabilitation Physicians LLC, a 40-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5709 Market St
Oakland, CA 94608-2811
Phone: (510) 444-9460
Fax: (510) 444-1966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA16192 (CA)

Record details

NPI number1700931631
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 23, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Post Acute Rehabilitation Physicians Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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