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CHABOT FAMILY ASSOCIATES INC. NPI 1306244850


NPI Information

NPI: 1306244850
Provider Name: CHABOT FAMILY ASSOCIATES INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2091082

Address:
20130 LAKE CHABOT RD
SUITE 202
CASTRO VALLEY, CA
ZIP 94546
Phone: (510) 582-6424
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CHABOT FAMILY ASSOCIATES INC. is a family medicine in Castro Valley, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHABOT FAMILY ASSOCIATES INC. NPI is 1306244850. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20130 LAKE CHABOT RD
SUITE 202
CASTRO VALLEY, CA
ZIP 94546-340
Phone: (510) 582-6424
Fax: (510) 582-6462

The provider's authorized official is Rinku Shrivastava .
The authorized official title is Physician and has the following contact phone number (510) 582-6424.

The CLIA number assigned to this NPI record is 05D2091082 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2014 and was last updated on 6/2/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineA110274CALIFORNIAYes

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: 5/5/2024

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