Easter Seals Northern California

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

EASTER SEALS NORTHERN CALIFORNIA

Practice address

20 Pimentel CT Ste A1
Novato, CA 94949-5656

Phone

(415) 382-7450

Fax

(415) 385-7457

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

Mary Margaret O'Brien

Title

Director, Accounting & Human Resour

Phone

(415) 382-7450

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1124347000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PIMENTEL CT STE A1",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949495656",
            "telephone_number": "415-382-7450",
            "fax_number": "415-385-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PIMENTEL CT STE A1",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949495656",
            "telephone_number": "415-382-7450",
            "fax_number": "415-385-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "DIRECTOR, ACCOUNTING & HUMAN RESOUR",
        "authorized_official_telephone_number": "415-382-7450"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl James Dudum, D.D.S.
• Kirsten Dumford
• Karen Dunford
• Christine Durbin
• Barbara Eason
• Kenneth Le Roy Eckhardt, D.C.
• Ecs of Bay Area Optometry Corporation
• Joseph I Eddings
• Brad J Eigen, BSN, MSN FNP
• Mahr F Elder, D.D.S., M.D.

• Developmental - Behavioral Pediatrics Physician in Novato, CA
• Providers in Novato, CA by specialty
• Developmental - Behavioral Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.