EAST BAY PHYSICIANS MEDICAL GROUP (NPI# 1477598894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477598894 |
| Entity Type | Organization |
| Organization Name | EAST BAY PHYSICIANS MEDICAL GROUP |
| Practice Address |
89 Davis Rd Suite 220 Orinda CA 94563-3031 |
| Mailing Address |
Po Box 254869 Sacramento CA 95865-4869 |
| Practice Telephone | 9252542008 |
| Mailing Telephone | 9168546634 |
| Mailing Fax Number | 9168546739 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM DEWOLF (PRESIDENT) |
| Authorized Official Telephone | 9252542008 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| X | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| X | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0101870 | 05 | |
| CA | GR0101871 | 05 | |
| CA | GR0101863 | 05 | |
| CA | GR0101866 | 05 | |
| CA | GR0101872 | 05 | |
| CA | GR0101875 | 05 | |
| CA | GR0101861 | 05 | |
| CA | GR0101867 | 05 | |
| CA | GR0101869 | 05 | |
| CA | GR0101862 | 05 | |
| CA | GR0101864 | 05 | |
| CA | GR0101868 | 05 | |
| CA | GR0101865 | 05 | |
| CA | GR0101860 | 05 | |
| CA | GR0101873 | 05 | |
| CA | GR0101874 | 05 | |
| CA | GR0101876 | 05 |
| Street Address |
89 DAVIS RD SUITE 220 |
| City | ORINDA |
| State | CA |
| Zip Code | 94563-3031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073925640 | Alana Suzanne Yahiro Leibowitz | Clinic/Center | 89 Davis Rd, Suite 280, Orinda, CA 94563-3031 | 2014-05-29 |
| 1114114584 | Evan Rosenbluth | Obstetrics & Gynecology | 89 Davis Rd, Suite 280, Orinda, CA 94563-3031 | 2007-10-01 |
| 1235245770 | Mary Lynn Miller | Internal Medicine | 89 Davis Rd, Suite 220, Orinda, CA 94563-3031 | 2006-08-21 |
| 1538274055 | William R De Wolf | Internal Medicine | 89 Davis Rd, Suite 220, Orinda, CA 94563-3031 | 2006-08-21 |
| 1841208402 | Kristin K Walker | Dermatology | 89 Davis Rd, Suite 180, Orinda, CA 94563-3031 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952842 | Sarah E. Wilson, Phd, A Professional Psychology Corporation | Psychologist | 23 Altarinda Road, Suite 201, Orinda, CA 94563 | 2020-05-05 |
| 1790333946 | Kristin Baines | Speech-Language Pathologist | Cameron Speech, 8 Camino Encinas Suite 210, Orinda, CA 94563 | 2019-08-30 |
| 1730618026 | Grace Elise Shandalov | Occupational Therapist | 24 Zander Drive, Orinda, CA 94563 | 2017-06-08 |
| 1346698735 | Janet Alexander | Occupational Therapist | 60 Don Gabriel Way, Orinda, CA 94563 | 2016-05-26 |
| 1750741021 | David Charles Hansen | Radiology | 543 Tahos Road, Orinda, CA 94563 | 2016-03-01 |
| 1063761609 | Melissa Bailey | Dentist | 15 Altarinda Rd., Suite 104a, Orinda, CA 94563 | 2012-08-29 |
| 1134493927 | Wu Hao Tu | Internal Medicine | 53 Brookside Rd, Orinda, CA 94563 | 2012-02-27 |
| 1134383243 | Marianna Eraklis | Pediatrics | One Camino Sobrante, Suite 208, Orinda, CA 94563 | 2008-07-17 |
| 1245441351 | Laro Virginia Thompson | Psychologist | 23 Altrarinda, Suite 214, Orinda, CA 94563 | 2007-05-24 |
| 1033329404 | Lisa B Kollin | Occupational Therapy Assistant | 8 Great Oak Circle, Orinda, CA 94563 | 2007-05-23 |
| Find all providers in zip 94563 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871538769 | Sutter East Bay Medical Foundation | Emergency Medicine | 12 Camino Encinas, Orinda, CA 94563-3304 | 2006-06-17 |
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| 1942825112 | Blasko Medical Consultants Inc. | Emergency Medicine | 11576 Petunia Ct, Mira Loma, CA 91752-5013 | 2020-06-12 |
| 1316561517 | Sagen Consulting, PC | Emergency Medicine | 10053 Bret Ave, Cupertino, CA 95014-3518 | 2020-06-03 |
| 1265051304 | Madhok Medical Corporation | Emergency Medicine | 2309 Noriega St # 5, San Francisco, CA 94122-4239 | 2020-04-09 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1376177402 | Aria Urgent Care Associates, Inc | Emergency Medicine | 601 S Beach Blvd, Anaheim, CA 92804-3102 | 2020-02-27 |
| 1851922900 | Anna Lankester Webster | Emergency Medicine | 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 | 2020-01-28 |
| 1487294385 | Cep America - Auc PC | Emergency Medicine | 240 La Casa Via Ste 200, Walnut Creek, CA 94598-4866 | 2020-01-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.