INTERNATIONAL CENTER FOR INTEGRATIVE MEDICINE
NPI 1972904183
Clinic/Center in Oakland, CA

Active since September 07, 2014
3824 MACARTHUR BLVD, OAKLAND, CA 94619(510) 336-0129(510) 336-0297 Get Directions Write a Review

NPPES record last updated: September 7, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About International Center For Integrative Medicine NPPES

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

INTERNATIONAL CENTER FOR INTEGRATIVE MEDICINE (NPI 1972904183) is a healthcare organization registered as a clinic/center in Oakland, California and active in the NPI registry since September 2014. The organization lists Amy Matecki, President, as its authorized official.

NPPES Registry Identity

NPI1972904183
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameINTERNATIONAL CENTER FOR INTEGRATIVE MEDICINE
Location Address3824 MACARTHUR BLVDOakland, CA 94619-1315
Mailing Address3824 Macarthur BlvdOakland, CA 94619-1315 · (510) 336-0129 · Fax (510) 336-0297
Fax(510) 336-0297
Organization SubpartNo
Authorized OfficialAmy MateckiPresident · (510) 336-0129
Enumeration DateSeptember 7, 2014
✔ NPI 1972904183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3824 MACARTHUR BLVD, Oakland, CA 94619

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

International Center For Integrative Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to International Center For Integrative Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1770571077
3012 SUMMIT ST STE 2675
Oakland, CA 94609
(510) 869-6740
✔ PECOS✔ Accepts Medicare4.1 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 International Center For Integrative Medicine's NPI number?

The NPI number for International Center For Integrative Medicine is 1972904183. It was assigned to this organization in the NPPES registry on September 7, 2014.

Where is International Center For Integrative Medicine located?

International Center For Integrative Medicine is located at 3824 Macarthur Blvd, Oakland, CA 94619. The listed phone number is (510) 336-0129.

What is International Center For Integrative Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is International Center For Integrative Medicine enrolled in Medicare?

Yes. International Center For Integrative Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through International Center For Integrative Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to International Center For Integrative 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for International Center For Integrative Medicine was last updated on September 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.