Provider Type Icon

EAST BAY PHYSICIAN'S MEDICAL GROUP NPI 1184077463


NPI Information

NPI: 1184077463
Provider Name: EAST BAY PHYSICIAN'S MEDICAL GROUP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
5700 TELEGRAPH AVE
OAKLAND, CA
ZIP 94609
Phone: (510) 204-3986
Get Directions

EAST BAY PHYSICIAN'S MEDICAL GROUP is a family nurse practitioner in Oakland, CA. EAST BAY PHYSICIAN'S MEDICAL GROUP NPI is 1184077463. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5700 TELEGRAPH AVE
OAKLAND, CA
ZIP 94609-710
Phone: (510) 204-3986
Fax: (510) 204-3948

The provider's authorized official is Monica A. Reymundo .
The authorized official title is Physical Services Supervisor and has the following contact phone number (510) 204-6660.

The enumeration date for this NPI number is 7/21/2016 and was last updated on 7/21/2016.


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
1363LF0000XNurse PractitionerFamilyNP95004006CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.