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EAST BAY INTEGRATED CARE INC NPI 1659769826


NPI Information

NPI: 1659769826
Provider Name: EAST BAY INTEGRATED CARE INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D2188999

Address:
3470 BUSKIRK AVENUE
PLEASANT HILL, CA
ZIP 94523
Phone: (925) 887-5678
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EAST BAY INTEGRATED CARE INC is an internal medicine in Pleasant Hill, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EAST BAY INTEGRATED CARE INC NPI is 1659769826. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3470 BUSKIRK AVENUE
PLEASANT HILL, CA
ZIP 94523-316
Phone: (925) 887-5678
Fax: (925) 887-5672

The provider's authorized official is Cynthia Hatton .
The authorized official title is President and has the following contact phone number (925) 887-5678.

The CLIA number assigned to this NPI record is 05D2188999 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2014 and was last updated on 12/22/2014.


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
1207R00000XInternal MedicineYes

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
1HPC01547FMEDICAIDCALIFORNIA
2HHA57262FMEDICAIDCALIFORNIA

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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