EAST BAY PHYSICIAN'S MEDICAL GROUP
NPI 1184077463
Nurse Practitioner - Family in Oakland, CA

Active since July 21, 2016
5700 TELEGRAPH AVE, OAKLAND, CA 94609(510) 204-3986(510) 204-3948 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Bay Physician's Medical Group NPPES

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

EAST BAY PHYSICIAN'S MEDICAL GROUP (NPI 1184077463) is a healthcare organization registered as a family in Oakland, California and active in the NPI registry since July 2016. The organization lists Monica A. Reymundo, Physical Services Supervisor, as its authorized official.

NPPES Registry Identity

NPI1184077463
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEAST BAY PHYSICIAN'S MEDICAL GROUP
Location Address5700 TELEGRAPH AVEOakland, CA 94609-1710
Mailing Address5700 Telegraph AveOakland, CA 94609-1710 · (510) 204-3986 · Fax (510) 204-3948
Fax(510) 204-3948
Organization SubpartNo
Authorized OfficialMonica A. ReymundoPhysical Services Supervisor · (510) 204-6660
Enumeration DateJuly 21, 2016
NPI 1184077463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · NP95004006
5700 TELEGRAPH AVE, Oakland, CA 94609

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 7

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

Physical Therapist
5700 TELEGRAPH AVE, SUITE 200
OAKLAND, CA 94609
Physical Therapist
5700 TELEGRAPH AVE
OAKLAND, CA 94609
Orthopaedic Surgery
5700 TELEGRAPH AVE
OAKLAND, CA 94609
Orthopaedic Surgery
5700 TELEGRAPH AVE, SUITE 100
OAKLAND, CA 94609
Nurse Practitioner (Family)
5700 TELEGRAPH AVE
OAKLAND, CA 94609
Durable Medical Equipment & Medical Supplies
5700 TELEGRAPH AVE, SUITE 100
OAKLAND, CA 94609
Physical Therapist
5700 TELEGRAPH AVE
OAKLAND, CA 94609

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 Physician's Medical Group's NPI number?

The NPI number for East Bay Physician's Medical Group is 1184077463. It was assigned to this organization in the NPPES registry on July 21, 2016.

Where is East Bay Physician's Medical Group located?

East Bay Physician's Medical Group is located at 5700 Telegraph Ave, Oakland, CA 94609. The listed phone number is (510) 204-3986.

What is East Bay Physician's Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for East Bay Physician's Medical Group was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.