1. Home
  2. Directory
  3. California
  4. San Pablo
  5. Clinic Center
  6. NPI Profile

IMHOTEP ISSAQUENA MEDICAL GROUP, INC.
NPI 1831261270
Clinic/Center - Primary Care in San Pablo, CA

Active since November 14, 2006
2023 VALE RD, SUITE 211, SAN PABLO, CA 94806(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: August 02, 2026.

About Imhotep Issaquena Medical Group, Inc. NPPES

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

IMHOTEP ISSAQUENA MEDICAL GROUP, INC. (NPI 1831261270) is a healthcare organization registered as a primary care in San Pablo, California and active in the NPI registry since November 2006. The organization lists Otis Eugene Rounds, President, as its authorized official.

NPPES Registry Identity

NPI1831261270
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameIMHOTEP ISSAQUENA MEDICAL GROUP, INC.
Location Address2023 VALE RD, SUITE 211San Pablo, CA 94806-3834
Mailing Address2023 Vale Rd, Suite 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 DateNovember 14, 2006
Last NPPES UpdateJune 27, 2008
✔ NPI 1831261270 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 · G37795
2023 VALE RD, San Pablo, CA 94806
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA47229CA
Medicare PINZZZ90072ZCA
Medicaid00G37795CA

Other Providers at the Same Location NPPES 20

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

DR. MANOJ SUMANLAL DESAI M.D.
Specialist
2023 VALE RD, SUITE # 1
SAN PABLO, CA 94806
Contra Costa County (510) 237-3785
BRIAN BEACHLER
Family Medicine
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 981-4100
DARCY STANLEY CNM/WHNP
Advanced Practice Midwife
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 215-9092
AUDREY I SCHAPS NP
Family Medicine
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 231-9800
JENNIFER RUIZ
Social Worker (Clinical)
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 981-4100
MOLLY ANNE MEKJAVICH CNM
Midwife
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 215-9092
BROOKSIDE COMMUNITY HEALTH CENTER, INC
Clinic/Center (Community Health)
2023 VALE RD, SUITE 107
SAN PABLO, CA 94806
Contra Costa County (510) 231-9810
TENZIN YOUDON LCSW
Social Worker (Clinical)
2023 VALE RD
SAN PABLO, CA 94806
Contra Costa County (510) 215-9092

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, Inc.'s NPI number?

The NPI number for Imhotep Issaquena Medical Group, Inc. is 1831261270. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Imhotep Issaquena Medical Group, Inc. located?

Imhotep Issaquena Medical Group, Inc. is located at 2023 Vale Rd Suite 211, San Pablo, CA 94806. The listed phone number is (510) 231-0955.

What is Imhotep Issaquena Medical Group, Inc.'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, Inc. was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.