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EAST BAY PEDIATRICS MEDICAL GROUP
NPI 1811078017
Pediatrics in Orinda, CA

Active since October 17, 2006CLIA 05D0880264 · Waiver
96 DAVIS RD, SUITE 2, ORINDA, CA 94563(925) 254-9203(510) 841-5650 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Bay Pediatrics Medical Group NPPES

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

EAST BAY PEDIATRICS MEDICAL GROUP (NPI 1811078017) is a healthcare organization registered as a pediatrics in Orinda, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 3, 2028 and lists Richard L. Oken, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1811078017
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEAST BAY PEDIATRICS MEDICAL GROUP
Location Address96 DAVIS RD, SUITE 2Orinda, CA 94563-3041
Mailing Address96 Davis RdOrinda, CA 94563-3041 · (925) 254-9203 · Fax (510) 841-5650
Phone(925) 254-9203
Fax(510) 841-5650
Organization SubpartNo
Authorized OfficialRichard L. OkenManaging Partner · (925) 254-9203
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811078017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
96 DAVIS RD, Orinda, CA 94563
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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

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 05D0880264

East Bay Pediatric Medical Group · Orinda, CA
Active · expires Apr 3, 2028
CLIA Number05D0880264
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorDr. Christina Vo
Laboratory Phone(925) 438-1100
Laboratory LocationEast Bay Pediatric Medical Group96 Davis Road, Suite 2, Orinda, CA 94563
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. PAUL M. KASROVI DDS,MS
Dentist (Orthodontics and Dentofacial Orthopedics)
96 DAVIS RD, SUITE #1
ORINDA, CA 94563
Contra Costa County (510) 204-8855

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 Pediatrics Medical Group's NPI number?

The NPI number for East Bay Pediatrics Medical Group is 1811078017. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is East Bay Pediatrics Medical Group located?

East Bay Pediatrics Medical Group is located at 96 Davis Rd Suite 2, Orinda, CA 94563. The listed phone number is (925) 254-9203.

What is East Bay Pediatrics Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does East Bay Pediatrics Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0880264) is associated with this NPI, valid through April 3, 2028. 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 Pediatrics Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.