EAST BAY PRIMARY CARE MEDICAL GROUP, INC.
NPI 1902827892
Internal Medicine in Oakland, CA
About East Bay Primary Care Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST BAY PRIMARY CARE MEDICAL GROUP, INC. (NPI 1902827892) is a healthcare organization registered as an internal medicine in Oakland, California and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Yvonne Yeung, Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Group Practice 1
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 Primary Care Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to East Bay Primary Care Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 05D0601926
East Bay Primary Care Medical Grp Inc · Oakland, CAFrequently 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 Primary Care Medical Group, Inc.'s NPI number?
The NPI number for East Bay Primary Care Medical Group, Inc. is 1902827892. It was assigned to this organization in the NPPES registry on July 23, 2006.
Where is East Bay Primary Care Medical Group, Inc. located?
East Bay Primary Care Medical Group, Inc. is located at 373 9th St Suite 403, Oakland, CA 94607. The listed phone number is (510) 465-3588.
What is East Bay Primary Care Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is East Bay Primary Care Medical Group, Inc. enrolled in Medicare?
Yes. East Bay Primary Care Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Bay Primary Care Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to East Bay Primary Care Medical Group, Inc., in Family Practice and Internal Medicine. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does East Bay Primary Care Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0601926) is associated with this NPI, valid through August 31, 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 Primary Care Medical Group, Inc. was last updated on May 28, 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.
# East Bay Primary Care Medical Group, Inc. · NPI 1902827892
Internal Medicine organization in Oakland, California. Organization record, active in the CMS NPPES registry since July 23, 2006.
## Identity
- **NPI:** 1902827892 (Entity type: Organization)
- **Enumerated:** July 23, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Yvonne Yeung, OFFICER
## Practice location
- **Address:** 373 9TH ST, SUITE 403, Oakland, CA 94607-6514
- **Phone:** (510) 465-3588 · **Fax:** (510) 465-4369
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2008
- **Other identifiers:** Medicaid GR0086140 (CA); Medicare ID-Type Unspecified ZZZ14652Z (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902827892) · Data from the CMS NPPES public registry.