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EAST BAY FAMILY PRACTICE MEDICAL GROUP INC
NPI 1154313237
Family Medicine in Oakland, CA

Active since August 16, 2005
3100 TELEGRAPH AVE, STE 2109, OAKLAND, CA 94609(510) 645-9900(510) 645-9919 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Bay Family Practice Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST BAY FAMILY PRACTICE MEDICAL GROUP INC (NPI 1154313237) is a healthcare organization registered as a family medicine in Oakland, California and active in the NPI registry since August 2005. The organization lists Audrey D'andrea, Vice President Share Holder, as its authorized official.

NPPES Registry Identity

NPI1154313237
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEAST BAY FAMILY PRACTICE MEDICAL GROUP INC
Location Address3100 TELEGRAPH AVE, STE 2109Oakland, CA 94609-3210
Mailing Address3100 Telegraph Ave, Ste 2109Oakland, CA 94609-3210 · (510) 645-9900 · Fax (510) 645-9919
Phone(510) 645-9900
Fax(510) 645-9919
Organization SubpartNo
Authorized OfficialAudrey D'andreaVice President Share Holder · (510) 645-9900
Enumeration DateAugust 16, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154313237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3100 TELEGRAPH AVE, Oakland, CA 94609
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Other Identifiers 1

MedicaidGR0003490CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON ANTHONY-JAVON SAUNDERS
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
SHARON SHIGEKO LEAF PHARMD
Pharmacist
3100 TELEGRAPH AVE, SUITE 1100
OAKLAND, CA 94609
Alameda County (510) 869-6818
NICOLE HELENE ARMSTRONG
Student in an Organized Health Care Education/Training Program
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
ALEJANDRA LOPEZ
Student in an Organized Health Care Education/Training Program
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
JULIANA PASTORE BSN, RN, CCRN
Nurse Anesthetist, Certified Registered
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
JESSICA YU PA
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
ELIZABETH MOYER PA-C
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 879-9257
NOELLE HENNIG
Nurse Anesthetist, Certified Registered
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 879-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Bay Family Practice Medical Group Inc's NPI number?

The NPI number for East Bay Family Practice Medical Group Inc is 1154313237. It was assigned to this organization in the NPPES registry on August 16, 2005.

Where is East Bay Family Practice Medical Group Inc located?

East Bay Family Practice Medical Group Inc is located at 3100 Telegraph Ave Ste 2109, Oakland, CA 94609. The listed phone number is (510) 645-9900.

What is East Bay Family Practice Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for East Bay Family Practice Medical Group Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.