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

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 2086S0120X and a focus in Pediatric Surgery.

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: July 19, 2026.

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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

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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