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PEDIATRIC MEDICAL ASSOCIATES OF EAST BAY NPI 1780756866


NPI Information

NPI: 1780756866
Provider Name: PEDIATRIC MEDICAL ASSOCIATES OF EAST BAY
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
101 CALLAN AVE
SUITE 401
SAN LEANDRO, CA
ZIP 94577
Phone: (510) 357-7077
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PEDIATRIC MEDICAL ASSOCIATES OF EAST BAY is a pediatrics in San Leandro, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC MEDICAL ASSOCIATES OF EAST BAY NPI is 1780756866. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 CALLAN AVE
SUITE 401
SAN LEANDRO, CA
ZIP 94577-584
Phone: (510) 357-7077
Fax: (510) 357-4363

The provider's authorized official is Lawrence M Ng .
The authorized official title is Managing Partner and has the following contact phone number (510) 357-7077.

The enumeration date for this NPI number is 11/14/2006 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
1208000000XPediatricsYes

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
1GR0050650MEDICAIDCALIFORNIA
2GR0050651MEDICAIDCALIFORNIA

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

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