CALIFORNIA PACIFIC MEDICAL GROUP INC. NPI 1275002453

NPI Information

NPI: 1275002453
Provider Name: CALIFORNIA PACIFIC MEDICAL GROUP, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1221 BROADWAY STE 700
OAKLAND, CA
ZIP 94612
Phone: (415) 972-6000
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CALIFORNIA PACIFIC MEDICAL GROUP, INC. is a multi-specialty clinic center in Oakland, CA. CALIFORNIA PACIFIC MEDICAL GROUP, INC. NPI is 1275002453. The provider is registered as an organization entity type.

The provider's business location address is:

1221 BROADWAY STE 700
OAKLAND, CA
ZIP 94612-898
Phone: (415) 972-6000

The provider's authorized official is Joel Klompus .
The authorized official title is President and has the following contact phone number (415) 972-6000.

The enumeration date for this NPI number is 11/17/2018 and was last updated on 11/17/2018.

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
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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

NPI Synchronization or Removal

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