EAST BAY HEALTH MEDICAL GROUP SPC
NPI 1780466201
Clinic/Center - Primary Care in Lafayette, CA
About East Bay Health Medical Group Spc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST BAY HEALTH MEDICAL GROUP SPC (NPI 1780466201) is a healthcare organization registered as a primary care in Lafayette, California and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Naomi Breckon, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2290526
East Bay Health Medical Group Spc · Lafayette, CAOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAFAYETTE, CA 94549
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 Health Medical Group Spc's NPI number?
The NPI number for East Bay Health Medical Group Spc is 1780466201. It was assigned to this organization in the NPPES registry on October 18, 2023.
Where is East Bay Health Medical Group Spc located?
East Bay Health Medical Group Spc is located at 911 Moraga Rd Ste 101, Lafayette, CA 94549. The listed phone number is (925) 444-7073.
What is East Bay Health Medical Group Spc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does East Bay Health Medical Group Spc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2290526) is associated with this NPI, valid through September 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for East Bay Health Medical Group Spc was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# East Bay Health Medical Group Spc · NPI 1780466201
Primary Care organization in Lafayette, California. Organization record, active in the CMS NPPES registry since October 18, 2023.
## Identity
- **NPI:** 1780466201 (Entity type: Organization)
- **Enumerated:** October 18, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Naomi Breckon, CEO
## Practice location
- **Address:** 911 MORAGA RD STE 101, Lafayette, CA 94549-4591
- **Phone:** (925) 444-7073
## Record status
- **NPPES last updated:** October 18, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780466201) · Data from the CMS NPPES public registry.