East Bay Area Quality Health Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A64757 Issued in CA

Legal business name

EAST BAY AREA QUALITY HEALTH CORPORATION

Practice address

400 29TH Ave
Suite 501
Oakland, CA 94601-2106

Phone

(510) 268-1800

Fax

(510) 268-1803

NPI assigned

May 18, 2016

Last updated

Sep 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony E. Jones, M.D.NPI 1538246194

Title

President

Phone

(510) 268-1800

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Jones, MD

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1538246194
  Medicare reassignment Care Compare group NPD Authorized official
• Jaime Young, NP

  • Adult Health Nurse Practitioner
  • Oakland, CA
  • NPI 1780157651
  Medicare reassignment Care Compare group NPD
• Lisha Lynne Wilson, MD

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1003809765
  Medicare reassignment NPD
• Mark Burrell Bazalgette, MD

  • Colon & Rectal Surgery Physician
  • Novato, CA
  • NPI 1891806014
  NPD (past)

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1295182335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 29TH AVE",
            "address_2": "SUITE 501",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012106",
            "telephone_number": "510-268-1800",
            "fax_number": "510-268-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 29TH AVE",
            "address_2": "SUITE 501",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012106",
            "telephone_number": "510-268-1800",
            "fax_number": "510-268-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY AREA QUALITY HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-268-1800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64757",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G73584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Bay Agency for Children (Ebac)
• East Bay Agency for Children (EBAC - Emerson Elementary School)
• East Bay Agency for Children
• East Bay AIDS Center Medical Group Inc
• East Bay Anesthesiology Medical Group, Inc
• East Bay Art Therapy
• East Bay Assisted Living Inc
• East Bay Cardiac Surgery Center Medical Group
• East Bay Center for Digestive Health Medical Associates, Inc
• East Bay Community Recovery Project

• Family Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.