EAST BAY AIDS CENTER MEDICAL GROUP INC
NPI 1689600314
Internal Medicine - Infectious Disease in Oakland, CA

Q: What is East Bay Aids Center Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Active since June 24, 2006

3100 SUMMIT ST, 2ND FLOOR, OAKLAND, CA 94609(510) 869-8400(510) 869-8475 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About East Bay Aids Center Medical Group Inc NPPES

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

EAST BAY AIDS CENTER MEDICAL GROUP INC (NPI 1689600314) is a healthcare organization registered as an infectious disease in Oakland, California and active in the NPI registry since June 2006. The organization lists Jeffrey Burack, President, as its authorized official.

NPPES Registry Identity

NPI1689600314

Entity TypeOrganization

Primary Taxonomy207RI0200X

Legal Business NameEAST BAY AIDS CENTER MEDICAL GROUP INC

Location Address3100 SUMMIT ST, 2ND FLOOROakland, CA 94609-3410

Mailing Address3100 Summit St, 2nd FloorOakland, CA 94609 · (510) 869-8488 · Fax (510) 869-8478

Phone(510) 869-8400

Fax(510) 869-8475

Organization SubpartNo

Authorized OfficialJeffrey BurackPresident · (510) 869-8480

Enumeration DateJune 24, 2006

Last NPPES UpdateDecember 22, 2022

NPPES CertifiedDecember 22, 2022

✔ NPI 1689600314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

3100 SUMMIT ST, Oakland, CA 94609

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Other Identifiers 1

MedicaidGR0087700CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Bay Aids Center 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 8 clinicians reassign Medicare billing to East Bay Aids Center Medical Group Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Jeffrey Burack, M.D.

Internal Medicine

NPI 1316967474

3100 SUMMIT STREET 2ND FLOOR
Oakland, CA 94609

(510) 869-8400

✔ PECOS✔ Accepts MedicareSame address

Mathew Sommers, NP

Nurse Practitioner

NPI 1467188516

3100 SUMMIT ST FL 2
Oakland, CA 94609

(510) 869-8400

✔ PECOS✔ Accepts MedicareSame address

Nupur Gupta, D.O.

Internal Medicine

NPI 1417375940

3100 SUMMIT ST, 2ND FLOOR
Oakland, CA 94609

(510) 869-8400

✔ PECOS✔ Accepts MedicareSame address

Tricia Smallwood, NP

Nurse Practitioner

NPI 1245051242

3100 SUMMIT ST FL 2
Oakland, CA 94609

(510) 869-4000

✔ PECOSSame address

Carissa Perkins, NP

Nurse Practitioner

NPI 1053047803

2 KORET WAY
San Francisco, CA 94143

(858) 344-6965

✔ PECOS✔ Accepts Medicare11 mi

Stephen Merjavy, MD

Family Practice

NPI 1326477993

2500 ALHAMBRA AVE
Martinez, CA 94553

(925) 370-5000

✔ PECOS15 mi

Michele Tang, M.D.

Infectious Disease

NPI 1851680797

701 E EL CAMINO REAL
Mountain View, CA 94040

(650) 934-7000

✔ PECOS✔ Accepts Medicare32 mi

Jessica Farmer

Family Practice

NPI 1790246460

1403 LOMITA BLVD STE 200
Harbor City, CA 90710

(310) 602-2600

✔ PECOS✔ Accepts Medicare355 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 East Bay Aids Center Medical Group Inc's NPI number?

The NPI number for East Bay Aids Center Medical Group Inc is 1689600314. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is East Bay Aids Center Medical Group Inc located?

East Bay Aids Center Medical Group Inc is located at 3100 Summit St 2nd Floor, Oakland, CA 94609. The listed phone number is (510) 869-8400.

What is East Bay Aids Center Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is East Bay Aids Center Medical Group Inc enrolled in Medicare?

Yes. East Bay Aids Center Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Bay Aids Center Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to East Bay Aids Center Medical Group 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. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Internal Medicine (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for East Bay Aids Center Medical Group Inc was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.