NPIMap

Organization Active NPI

Northbay Healthcare Group

  • Multi-Specialty Clinic/Center
  • Oakland, CA
National Provider Identifier
1225363757
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
364689 Issued in CA
Legal business name
NORTHBAY HEALTHCARE GROUP
Practice address
1793 Northwood CT
Oakland, CA 94611-1167
Phone
(510) 339-7372
NPI assigned
Oct 16, 2009
Last updated
Oct 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Ms. Diane L Harris
Title
Director
Phone
(707) 646-4164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 364689 CA Primary

Addresses

Primary practice location

1793 Northwood CT
Oakland, CA 94611-1167

Mailing address

1793 Northwood CT
Oakland, CA 94611-1167
Phone (510) 339-7372

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 9

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1225363757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1793 NORTHWOOD CT",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946111167",
            "telephone_number": "510-339-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1793 NORTHWOOD CT",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946111167",
            "telephone_number": "510-339-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBAY HEALTHCARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-646-4164",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "364689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.