INTERNATIONAL CENTER FOR INTEGRATIVE MEDICINE


Address: 3824 Macarthur Blvd, Oakland, CA 94619-1315
Phone: 5103360129

INTERNATIONAL CENTER FOR INTEGRATIVE MEDICINE (NPI# 1972904183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972904183
Entity Type Organization
Organization Name INTERNATIONAL CENTER FOR INTEGRATIVE MEDICINE
Practice Address 3824 Macarthur Blvd
Oakland
CA 94619-1315
Practice Telephone 5103360129
Practice Fax Number 5103360297
Mailing Telephone 5103360129
Mailing Fax Number 5103360297
Enumeration Date 2014-09-07
Last Update Date 2014-09-07
Authorized Official Name DR. AMY MATECKI (PRESIDENT)
Authorized Official Telephone 5103360129
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 3824 MACARTHUR BLVD
City OAKLAND
State CA
Zip Code 94619-1315

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649743345 Osita Health Clinic Clinic/Center 2521 Seminary Ave Ste 1, Oakland, CA 94605-1307 2019-01-04
1417440959 Perkins-mazor Chiropractic, Inc. Clinic/Center 3201 Macarthur Blvd, Oakland, CA 94602-3819 2018-06-09
1760981617 East Bay Acupuncture Clinic/Center 440 Grand Ave Ste 401, Oakland, CA 94610-5032 2018-02-06
1992221055 Garrett Treatment Center, LLC Clinic/Center 233 East Alder Street, Suite A, Oakland, MD 21550 2017-08-20
1538431432 Preventive Care Pathways Clinic/Center 5709 Market St Ste A, Oakland, CA 94608-2811 2012-02-08
1497033088 Oakland Acupuncture Project, Inc. Clinic/Center 3576 Laurel Ave, Oakland, CA 94602-3841 2011-07-29
1689825366 The West Oakland Health Council Clinic/Center 2730 Adeline Street, Oakland, CA 94607 2008-10-01
1235301524 Healthy Communities, Incorporated Clinic/Center 2580 San Pablo Ave, Oakland, CA 94612-1160 2008-03-27
1811025653 Garrett Surgical Group, P.a. Clinic/Center 255 N 4th St Ste 2, Oakland, MD 21550-1340 2007-03-01
1295878825 Anita Keswani Clinic/Center 6955 Foothill Blvd, Suite 200, Oakland, CA 94605-2409 2007-02-14
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Competitor

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City OAKLAND
Zip Code 94619

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Dataset Information

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.

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