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EAST BAY PEDIATRICS INC NPI 1831291350


NPI Information

NPI: 1831291350
Provider Name: EAST BAY PEDIATRICS INC

Doing Business As: EAST BAY PEDIATRIC PRIMARY CARE INC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2324 SANTA RITA RD
SUITE 12
PLEASANTON, CA
ZIP 94566
Phone: (925) 462-7700
Get Directions

EAST BAY PEDIATRICS INC is a pediatrics in Pleasanton, 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. EAST BAY PEDIATRICS INC NPI is 1831291350. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Bay Pediatric Primary Care Inc.

The provider's business location address is:

2324 SANTA RITA RD
SUITE 12
PLEASANTON, CA
ZIP 94566-152
Phone: (925) 462-7700
Fax: (925) 462-7700

The provider's authorized official is Elmer Jumig .
The authorized official title is President and has the following contact phone number (925) 462-7700.

The enumeration date for this NPI number is 9/4/2006 and was last updated on 6/27/2008.


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
1208000000XPediatricsA77244CALIFORNIAYes

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
17473685OTHERCALIFORNIAAETNA PROVIDER #
23672937MEDICARE UPINCALIFORNIA
306311574OTHERCALIFORNIACIGNA PROVIDER #
42667817OTHERCALIFORNIAUNITED PROVIDER #
595999OTHERCALIFORNIAPACIFICARE ID #
600A772440MEDICAIDCALIFORNIA

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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