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IMHOTEP ISSAQUENA MEDICAL GROUP
NPI 1659405165
Clinic/Center - Primary Care in Oakland, CA

Active since March 15, 2007
401 29TH ST, #206, OAKLAND, CA 94609(510) 231-0955(510) 231-0482 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Imhotep Issaquena Medical Group NPPES

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

IMHOTEP ISSAQUENA MEDICAL GROUP (NPI 1659405165) is a healthcare organization registered as a primary care in Oakland, California and active in the NPI registry since March 2007. The organization lists Otis Eugene Rounds, President, as its authorized official.

NPPES Registry Identity

NPI1659405165
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameIMHOTEP ISSAQUENA MEDICAL GROUP
Location Address401 29TH ST, #206Oakland, CA 94609-3519
Mailing Address2023 Vale Rd, #211San Pablo, CA 94806-3834 · (510) 231-0955 · Fax (510) 231-0482
Phone(510) 231-0955
Fax(510) 231-0482
Organization SubpartNo
Authorized OfficialOtis Eugene RoundsPresident · (510) 231-0955
Enumeration DateMarch 15, 2007
Last NPPES UpdateJune 27, 2008
✔ NPI 1659405165 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 · G33795
401 29TH ST, Oakland, CA 94609
Open in Google Maps ↗

Other Identifiers 3

Medicare PINZZZ90072Z
Medicaid00G37795CA
Medicare UPINA47229

Other Providers at the Same Location NPPES 14

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

DR. CLIFFORD RALPH MELTON MD MD
Urology
401 29TH ST, 206
OAKLAND, CA 94609
Alameda County (510) 835-3680
VITZ CHIROPRACTIC AND REHABILITATION, INC.
Chiropractor (Rehabilitation)
401 29TH ST, SUITE 205
OAKLAND, CA 94609
Alameda County (510) 444-2663
DR. RONALD FONG D.D.S.
Dentist (General Practice)
401 29TH ST, #209
OAKLAND, CA 94609
Alameda County (510) 444-2737
KELLER DERMATOPATHOLOGY MED GRP INC
Clinical Medical Laboratory
401 29TH ST, SUITE 109
OAKLAND, CA 94609
Alameda County (510) 663-6204
CLIFFORD RALPH MELTON
Urology
401 29TH ST, 206
OAKLAND, CA 94609
Alameda County (510) 835-3680
DR. ALBERT R KELLER MD
Pathology (Anatomic Pathology & Clinical Pathology)
401 29TH ST, SUITE 109
OAKLAND, CA 94609
Alameda County (510) 663-6204
DR. ANDREA MARIE VITZ D.C.
Chiropractor
401 29TH ST, SUITE 205
OAKLAND, CA 94609
Alameda County (510) 444-2663
NEW OAKLAND PHARMACY - SUMMIT
Pharmacy (Community/Retail Pharmacy)
401 29TH ST
OAKLAND, CA 94609
Alameda County (510) 839-0128

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 Imhotep Issaquena Medical Group's NPI number?

The NPI number for Imhotep Issaquena Medical Group is 1659405165. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Imhotep Issaquena Medical Group located?

Imhotep Issaquena Medical Group is located at 401 29th St #206, Oakland, CA 94609. The listed phone number is (510) 231-0955.

What is Imhotep Issaquena Medical Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Imhotep Issaquena Medical Group was last updated on June 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.