East Bay Hand Medical Center, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G75352 Issued in CA

Legal business name

EAST BAY HAND MEDICAL CENTER, INC

Practice address

13690 E 14TH St Ste 200
San Leandro, CA 94578-2584

Phone

(510) 297-0550

Fax

(510) 297-0558

NPI assigned

May 3, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brenda Denice Cobb

Title

Office Supervisor/Billing MGR

Phone

(510) 297-0550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Dashe, M.D.

  • Orthopaedic Hand Surgery Physician
  • San Leandro, CA
  • NPI 1487917423

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Orrin I Franko, MD

  • Orthopaedic Surgery Physician
  • San Leandro, CA
  • NPI 1164650487
  Medicare reassignment Care Compare group NPD
• Mike Marsh, OTR/L, CHT

  • Hand Occupational Therapist
  • San Leandro, CA
  • NPI 1437120938
  Medicare reassignment Care Compare group NPD
• Andrew J Stein, M.D.

  • Specialist
  • San Leandro, CA
  • NPI 1407827959
  Medicare reassignment Care Compare group NPD
• Andrew Goodrum, PA-C

  • Physician Assistant
  • San Leandro, CA
  • NPI 1245077577
  Medicare reassignment
• Makenna Kummer

  • Physician Assistant
  • San Leandro, CA
  • NPI 1144863408
  Medicare reassignment
• Jennifer Lynne Schofield, PA-C

  • Physician Assistant
  • Stanford, CA
  • NPI 1134136641
  Medicare reassignment
• Bianca Bull, PA-C

  • Physician Assistant
  • Santa Maria, CA
  • NPI 1780454827
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1003305236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST STE 200",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782584",
            "telephone_number": "510-297-0550",
            "fax_number": "510-297-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST STE 200",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782584",
            "telephone_number": "510-297-0550",
            "fax_number": "510-297-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY HAND MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "DENICE",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR/BILLING MGR",
        "authorized_official_telephone_number": "510-297-0550"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G75352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Bay Agency for Children
• East Bay Agency for Children
• East Bay Agency for Children
• East Bay Agency for Children
• East Bay Foot & Ankle Clinic Inc
• East Bay Innovations
• East Bay Rheumatology Medical Group, Inc.
• East Bay Surgical Center LLC
• Quiana Easter
• Kiara Jaliyah Eastman, BEHAVIOR SPECIALIST

• Specialist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.