EAST BAY SPECIAL IMAGING MEDICAL GROUP, INC. (NPI# 1871731299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871731299 |
| Entity Type | Organization |
| Organization Name | EAST BAY SPECIAL IMAGING MEDICAL GROUP, INC. |
| Other Organization Name | EAST BAY SPECIAL IMAGING |
| Practice Address |
80 Grand Ave Suite 100 Oakland CA 94612-3725 |
| Mailing Address |
Po Box 1017 Lafayette CA 94549-1017 |
| Practice Telephone | 5105870650 |
| Practice Fax Number | 5105870649 |
| Mailing Telephone | 5105870650 |
| Mailing Fax Number | 5105870649 |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2011-12-20 |
| Authorized Official Name | DR. DOUGLAS H.L. CHIN (MANAGING PARTNER) |
| Authorized Official Telephone | 5104516950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| East Bay Special Imaging | Doing Business As Name - Organization |
| Street Address |
80 GRAND AVE SUITE 100 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710954649 | William A. Billings | Orthopaedic Surgery | 80 Grand Ave, Suite 400, Oakland, CA 94612-3725 | 2006-02-28 |
| 1922543149 | Nancy Elizabeth Adams | Internal Medicine | 80 Grand Ave, Suite 600, Oakland, CA 94612-3725 | 2016-12-23 |
| 1487895777 | Oakland Sleep Center | Clinic/Center | 80 Grand Ave, Suite 200, Oakland, CA 94612-3725 | 2009-03-16 |
| 1518106996 | East Bay Special Surgery LLC | Clinic/Center | 80 Grand Ave, Suite 100, Oakland, CA 94612-3725 | 2009-02-09 |
| 1275747677 | Sarah Langbein | Physician Assistant | 80 Grand Ave, Oakland, CA 94612-3725 | 2007-05-09 |
| 1306968185 | Xiang Fei | Case Manager/Care Coordinator | 80 Grand Ave, Suite 610, Oakland, CA 94612 | 2007-04-04 |
| 1265572440 | Glen Kee Lau, Md Inc | Plastic Surgery | 80 Grand Ave, Ste. 810, Oakland, CA 94612-3725 | 2007-02-07 |
| 1073653150 | Glen K. Lau | Plastic Surgery | 80 Grand Ave, Ste. 810, Oakland, CA 94612-3725 | 2007-02-07 |
| 1720152507 | Chang O. Kim | Orthopaedic Surgery | 80 Grand Ave, 5th Floor, Oakland, CA 94612-3725 | 2006-11-20 |
| 1063526119 | Jeffrey Adam Mann, M. D., Inc. | Orthopaedic Surgery | 80 Grand Ave, 5th Floor, Oakland, CA 94612-3725 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841583457 | Gabriel Philip Howles-banerji | Radiology | 3600 Broadway, 2nd Floor, Interventional Radiology, Oakland, CA 94611 | 2011-05-16 |
| 1215141114 | Jason Hwang | Radiology | 411 30th Street #508, Oakland, CA 91460 | 2007-05-09 |
| 1194848150 | Donald A Breyer | Radiology | 6861 Gunn Dr, Oakland, CA 94611-1442 | 2007-04-06 |
| 1841311305 | Howard Bruce Glazer | Radiology | 1411 East 14th St., Oakland, CA 94602 | 2007-04-03 |
| 1730203316 | Norcal Imaging | Radiology | 3200 Telegraph Ave, Oakland, CA 94609-3016 | 2007-03-19 |
| 1669515334 | Paul E. Morris | Radiology | 32 Ross Cir, Oakland, CA 94618-1912 | 2007-02-14 |
| 1801997721 | Stuart S. London Md,inc | Radiology | 3330 Telegraph Ave, Oakland, CA 94609-3028 | 2006-09-25 |
| 1083715908 | Stuart S London | Radiology | 3330 Telegraph Ave., Oakland, CA 94609-3028 | 2006-09-25 |
| 1164529285 | Jody Elizabeth Balich | Radiology | 1155 Clarendon Cres, Oakland, CA 94610-1807 | 2006-09-20 |
| 1689618415 | Sonali Wadhwa | Radiology | 1800 Harrison Street, 7th Floor, Tpmg Hr Compliance and Administration-npi, Oakland, CA 94612 | 2006-06-15 |
| Find all providers in OAKLAND | ||||
Please comment or provide details below to improve the information on EAST BAY SPECIAL IMAGING MEDICAL GROUP, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.