Provider Type Icon

BAY AREA COMMITTED TO KIDS MEDICAL GROUP INC. NPI 1912186834


NPI Information

NPI: 1912186834
Provider Name: BAY AREA COMMITTED TO KIDS MEDICAL GROUP, INC.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
3306 HERRIER ST
OAKLAND, CA
ZIP 94602
Phone: (510) 336-0880
Get Directions

BAY AREA COMMITTED TO KIDS MEDICAL GROUP, INC. is a pediatrics in Oakland, 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. BAY AREA COMMITTED TO KIDS MEDICAL GROUP, INC. NPI is 1912186834. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3306 HERRIER ST
OAKLAND, CA
ZIP 94602-004
Phone: (510) 336-0880

The provider's authorized official is Jamie Elise Wallach .
The authorized official title is President/owner and has the following contact phone number (510) 336-0880.

The enumeration date for this NPI number is 10/27/2007 and was last updated on 12/29/2010.


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
1208000000XPediatricsG79903CALIFORNIAYes

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
11912186834MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.