I 5 Medical Group, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

C2421957 Issued in CA

Legal business name

I 5 MEDICAL GROUP, INC.

Practice address

5915 B Hollis Street
Emeryville, CA 94608

Phone

(510) 547-5633

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Santee

Title

Office MGR

Phone

(510) 547-5633

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1184872285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 B HOLLIS STREET",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "94608",
            "telephone_number": "510-547-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 B HOLLIS STREET",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "94608",
            "telephone_number": "510-547-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I 5 MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "SANTEE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "510-547-5633",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "C2421957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Emeryville, CA
• Providers in Emeryville, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.