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HARRIET TUBMAN MEDICAL OFFICE NPI 1245325349


NPI Information

NPI: 1245325349
Provider Name: HARRIET TUBMAN MEDICAL OFFICE

Doing Business As: TOLBERT J. SMALL, M.D.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
819 FOOTHILL BLVD
OAKLAND, CA
ZIP 94606
Phone: (510) 286-8300
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HARRIET TUBMAN MEDICAL OFFICE is a specialist in Oakland, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HARRIET TUBMAN MEDICAL OFFICE NPI is 1245325349. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Tolbert J. Small, M.d..

The provider's business location address is:

819 FOOTHILL BLVD
OAKLAND, CA
ZIP 94606-011
Phone: (510) 286-8300
Fax: (510) 286-8311

The provider's authorized official is Tolbert Jones Small .
The authorized official title is Owner/director and has the following contact phone number (510) 286-8300.

The enumeration date for this NPI number is 10/4/2006 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
1174400000XSpecialistA232820CALIFORNIAYes

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
100A232820MEDICAIDCALIFORNIA
2A23282OTHERCALIFORNIASTATE MEDICAL LIC
3AS4362668OTHERCALIFORNIADEA #
434600OTHERMICHIGANSTATE MEDICAL LIC
51740283464OTHERCALIFORNIANPI
66674OTHERMISSISSIPPISTATE MEDICAL LIC

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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