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PACIFIC CRITICAL CARE & NEUROCRITICAL CARE SPECIALISTS INC NPI 1104996479


NPI Information

NPI: 1104996479
Provider Name: PACIFIC CRITICAL CARE & NEUROCRITICAL CARE SPECIALISTS, INC
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
20103 LAKE CHABOT RD
CASTRO VALLEY, CA
ZIP 94546
Phone: (510) 292-8472
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PACIFIC CRITICAL CARE & NEUROCRITICAL CARE SPECIALISTS, INC is a critical care medicine internal medicine in Castro Valley, CA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. PACIFIC CRITICAL CARE & NEUROCRITICAL CARE SPECIALISTS, INC NPI is 1104996479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20103 LAKE CHABOT RD
CASTRO VALLEY, CA
ZIP 94546-305
Phone: (510) 292-8472

The provider's authorized official is David Palestrant .
The authorized official title is President and has the following contact phone number (510) 292-8472.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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