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EAST BAY PHYSICIANS MEDICAL GROUP NPI 1477598894


NPI Information

NPI: 1477598894
Provider Name: EAST BAY PHYSICIANS MEDICAL GROUP
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
89 DAVIS RD
SUITE 220
ORINDA, CA
ZIP 94563
Phone: (925) 254-2008
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EAST BAY PHYSICIANS MEDICAL GROUP is an emergency medicine in Orinda, CA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. EAST BAY PHYSICIANS MEDICAL GROUP NPI is 1477598894. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

89 DAVIS RD
SUITE 220
ORINDA, CA
ZIP 94563-031
Phone: (925) 254-2008

The provider's authorized official is William Dewolf .
The authorized official title is President and has the following contact phone number (925) 254-2008.

The enumeration date for this NPI number is 6/19/2006 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
1207P00000XEmergency MedicineYes
2207Q00000XFamily MedicineX
3207R00000XInternal MedicineX
4207RC0000XInternal MedicineCardiovascular DiseaseX
5207RN0300XInternal MedicineNephrologyX
6207RR0500XInternal MedicineRheumatologyX
7207V00000XObstetrics & GynecologyX
82084N0400XPsychiatry & NeurologyNeurologyX
92085R0202XRadiologyDiagnostic RadiologyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0101870MEDICAIDCALIFORNIA
2GR0101871MEDICAIDCALIFORNIA
3GR0101863MEDICAIDCALIFORNIA
4GR0101866MEDICAIDCALIFORNIA
5GR0101872MEDICAIDCALIFORNIA
6GR0101875MEDICAIDCALIFORNIA
7GR0101861MEDICAIDCALIFORNIA
8GR0101867MEDICAIDCALIFORNIA
9GR0101869MEDICAIDCALIFORNIA
10GR0101862MEDICAIDCALIFORNIA
11GR0101864MEDICAIDCALIFORNIA
12GR0101868MEDICAIDCALIFORNIA
13GR0101865MEDICAIDCALIFORNIA
14GR0101860MEDICAIDCALIFORNIA
15GR0101873MEDICAIDCALIFORNIA
16GR0101874MEDICAIDCALIFORNIA
17GR0101876MEDICAIDCALIFORNIA

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: 4/28/2024

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.