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EAST BAY PEDIATRIC CARDIOLOGY MEDICAL GROUP INC. NPI 1427081165


NPI Information

NPI: 1427081165
Provider Name: EAST BAY PEDIATRIC CARDIOLOGY MEDICAL GROUP, INC.

Doing Business As: PEDIATRIC CARDIOLOGY MEDICAL GROUP EAST BAY, INC.

Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
747 52ND ST
OAKLAND, CA
ZIP 94609
Phone: (510) 428-3294
Get Directions

EAST BAY PEDIATRIC CARDIOLOGY MEDICAL GROUP, INC. is a pediatric cardiology pediatrics in Oakland, CA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. EAST BAY PEDIATRIC CARDIOLOGY MEDICAL GROUP, INC. NPI is 1427081165. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Cardiology Medical Group East Bay, Inc..

The provider's business location address is:

747 52ND ST
OAKLAND, CA
ZIP 94609-809
Phone: (510) 428-3294

The provider's authorized official is Howard M Rosenfeld .
The authorized official title is President and has the following contact phone number (510) 428-3294.

The enumeration date for this NPI number is 7/8/2006 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
12080P0202XPediatricsPediatric CardiologyG78396CALIFORNIAYes

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
1GR0093060MEDICAIDCALIFORNIA

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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