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GASTROENTEROLOGY ASSOCIATES OF THE EAST BAY MEDICAL GROUP, INC.
NPI 1407940224
Specialist in Berkeley, CA

Active since October 03, 2006CLIA 05D0864483 · Certificate of Compliance
2510 WEBSTER STREET, BERKELEY, CA 94705(510) 548-6555(510) 548-3761 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gastroenterology Associates Of The East Bay Medical Group, Inc. NPPES

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

GASTROENTEROLOGY ASSOCIATES OF THE EAST BAY MEDICAL GROUP, INC. (NPI 1407940224) is a healthcare organization registered as a specialist in Berkeley, California and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 22, 2026 and lists Stacey Atwood, Biller, as its authorized official.

NPPES Registry Identity

NPI1407940224
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGASTROENTEROLOGY ASSOCIATES OF THE EAST BAY MEDICAL GROUP, INC.
Location Address2510 WEBSTER STREETBerkeley, CA 94705
Mailing Address2510 Webster StreetBerkeley, CA 94705 · (510) 548-6555 · Fax (510) 548-3761
Phone(510) 548-6555
Fax(510) 548-3761
Organization SubpartNo
Authorized OfficialStacey AtwoodBiller · (510) 292-4528
Enumeration DateOctober 3, 2006
Last NPPES UpdateNovember 9, 2016
✔ NPI 1407940224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2510 WEBSTER STREET, Berkeley, CA 94705
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Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ14052Z
Medicare UPINZZZ14052ZCA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0864483

Gastroenterology Of The East Bay Medical Group · Berkeley, CA
Active · expires Aug 22, 2026
CLIA Number05D0864483
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorMaryna Vazmitsel
Laboratory Phone(510) 548-6555
Laboratory LocationGastroenterology Of The East Bay Medical Group2510 Webster St, Berkeley, CA 94705
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Gastroenterology Associates Of The East Bay Medical Group, Inc.'s NPI number?

The NPI number for Gastroenterology Associates Of The East Bay Medical Group, Inc. is 1407940224. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Gastroenterology Associates Of The East Bay Medical Group, Inc. located?

Gastroenterology Associates Of The East Bay Medical Group, Inc. is located at 2510 Webster Street, Berkeley, CA 94705. The listed phone number is (510) 548-6555.

What is Gastroenterology Associates Of The East Bay Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Gastroenterology Associates Of The East Bay Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0864483) is associated with this NPI, valid through August 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gastroenterology Associates Of The East Bay Medical Group, Inc. was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.