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PACIFIC HEALTH CLINIC INC
NPI 1982414983
Internal Medicine - Nephrology in San Leandro, CA

Active since January 10, 2025
1040 DAVIS ST STE 103, SAN LEANDRO, CA 94577(510) 686-1122 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pacific Health Clinic Inc NPPES

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

PACIFIC HEALTH CLINIC INC (NPI 1982414983) is a healthcare organization registered as a nephrology in San Leandro, California and active in the NPI registry since January 2025. The organization maintains a secondary practice location in Antioch and lists Dexter Flower, Mgr. Credentialing, as its authorized official.

NPPES Registry Identity

NPI1982414983
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePACIFIC HEALTH CLINIC INC
Location Address1040 DAVIS ST STE 103San Leandro, CA 94577-1513
Mailing Address1040 Davis St Ste 103San Leandro, CA 94577-1513 · (510) 686-1122
Phone(510) 686-1122
Organization SubpartNo
Authorized OfficialDexter FlowerMgr. Credentialing · (725) 666-1636
Enumeration DateJanuary 10, 2025
NPPES CertifiedJanuary 10, 2025
✔ NPI 1982414983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1040 DAVIS ST STE 103, San Leandro, CA 94577
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Secondary Practice Location 1

Location 13700 Delta Fair Blvd Ste 211Antioch, CA 94509-4074 · Phone (510) 686-1122

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MUBASHER RANA MD
Internal Medicine (Nephrology)
1040 DAVIS ST STE 103
SAN LEANDRO, CA 94577
Alameda County (510) 686-1122

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 Pacific Health Clinic Inc's NPI number?

The NPI number for Pacific Health Clinic Inc is 1982414983. It was assigned to this organization in the NPPES registry on January 10, 2025.

Where is Pacific Health Clinic Inc located?

Pacific Health Clinic Inc is located at 1040 Davis St Ste 103, San Leandro, CA 94577. The listed phone number is (510) 686-1122.

What is Pacific Health Clinic Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Pacific Health Clinic Inc was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.