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PEDIATRIC SURGICAL ASSOCIATES OF THE EAST BAY
NPI 1619932209
Surgery - Pediatric Surgery in Oakland, CA

Active since April 18, 2006
744 52ND ST, SUITE 4100, OAKLAND, CA 94609(510) 428-3017(510) 428-3405 Get Directions Write a Review

NPPES record last updated: May 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatric Surgical Associates Of The East Bay NPPES

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

PEDIATRIC SURGICAL ASSOCIATES OF THE EAST BAY (NPI 1619932209) is a healthcare organization registered as a pediatric surgery in Oakland, California and active in the NPI registry since April 2006. The organization lists Sunghoon Kim, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1619932209
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NamePEDIATRIC SURGICAL ASSOCIATES OF THE EAST BAY
Location Address744 52ND ST, SUITE 4100Oakland, CA 94609-1810
Mailing Address5528 Pacheco Blvd, Suite APacheco, CA 94553-5154 · (925) 363-8170 · Fax (925) 363-8178
Phone(510) 428-3017
Fax(510) 428-3405
Organization SubpartNo
Authorized OfficialSunghoon KimManaging Partner · (510) 428-3017
Enumeration DateApril 18, 2006
Last NPPES UpdateMay 19, 2011
✔ NPI 1619932209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
744 52ND ST, Oakland, CA 94609
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0086800CA

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.

BETHANY GELERIS CRNP
Nurse Practitioner (Pediatrics)
744 52ND ST
OAKLAND, CA 94609
Alameda County (909) 568-4395
KATHERINE LIAO PA
Physician Assistant
744 52ND ST
OAKLAND, CA 94609
Alameda County (919) 681-3161
RUBI CUEVAS RN
Registered Nurse
744 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3215
MS. ANDREA BREON M.S., CCC-SLP
Speech-Language Pathologist
744 52ND ST, CRANIOFACIAL 5TH FLOOR
OAKLAND, CA 94609
Alameda County (510) 428-3150
ANNE THATCHER-STEPHENS ATC
Specialist/Technologist (Athletic Trainer)
744 52ND ST, UCSF BENIOFF CHILDREN'S HOPSPITAL
OAKLAND, CA 94609
Alameda County (415) 595-2561
GRACE OSBORN PA
Physician Assistant
744 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3024
EILEEN B FINLEY CCC-SLP
Speech-Language Pathologist
744 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3885
BRENT RYO HISAKA PT, DPT
Physical Therapist
744 52ND ST
OAKLAND, CA 94609
Alameda County (510) 428-3558

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 Pediatric Surgical Associates Of The East Bay's NPI number?

The NPI number for Pediatric Surgical Associates Of The East Bay is 1619932209. It was assigned to this organization in the NPPES registry on April 18, 2006.

Where is Pediatric Surgical Associates Of The East Bay located?

Pediatric Surgical Associates Of The East Bay is located at 744 52nd St Suite 4100, Oakland, CA 94609. The listed phone number is (510) 428-3017.

What is Pediatric Surgical Associates Of The East Bay's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

When was this NPI record last updated?

The NPPES record for Pediatric Surgical Associates Of The East Bay was last updated on May 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.