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PACIFIC EAST MEDICAL GROUP, INC
NPI 1457301632
Clinic/Center - Primary Care in El Cerrito, CA

Active since May 11, 2006
10104 SAN PABLO AVE, EL CERRITO, CA 94530(510) 558-0886(510) 558-8504 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pacific East Medical Group, Inc NPPES

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

PACIFIC EAST MEDICAL GROUP, INC (NPI 1457301632) is a healthcare organization registered as a primary care in El Cerrito, California and active in the NPI registry since May 2006. The organization lists Andrew B Wallach, President, as its authorized official.

NPPES Registry Identity

NPI1457301632
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePACIFIC EAST HEALTHCARE, INC
Location Address10104 SAN PABLO AVEEl Cerrito, CA 94530-3510
Mailing Address10104 San Pablo AveEl Cerrito, CA 94530-3510 · (510) 558-0886 · Fax (510) 558-8504
Phone(510) 558-0886
Fax(510) 558-8504
Organization SubpartNo
Authorized OfficialAndrew B WallachPresident · (510) 558-0886
Enumeration DateMay 11, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1457301632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · G41883
10104 SAN PABLO AVE, El Cerrito, CA 94530
Open in Google Maps ↗

Other Names 1

Other NamePacific East Medical Group, Inc

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific East Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific East Medical Group, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Claudell Stephens, M.D.
Family Practice
NPI 1437240850
1617 CANYON RD SUITE 301
Pinole, CA 94564
(925) 753-1986
✔ PECOS✔ Accepts Medicare6.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Pacific East Healthcare, Inc's NPI number?

The NPI number for Pacific East Healthcare, Inc is 1457301632. It was assigned to this organization in the NPPES registry on May 11, 2006. The provider is also known as Pacific East Medical Group, Inc.

Where is Pacific East Healthcare, Inc located?

Pacific East Healthcare, Inc is located at 10104 San Pablo Ave, El Cerrito, CA 94530. The listed phone number is (510) 558-0886.

What is Pacific East Healthcare, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Pacific East Healthcare, Inc enrolled in Medicare?

Yes. Pacific East Healthcare, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific East Healthcare, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Pacific East Healthcare, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pacific East Healthcare, 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 6 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.