Organization Active NPI

Earl L. Holloway, M.D., Inc

  • Cardiovascular Disease Physician
  • Oakland, CA
National Provider Identifier
1336317205
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G18104 Issued in CA
Legal business name
EARL L. HOLLOWAY, M.D., INC
Practice address
3318 Elm St
Oakland, CA 94609-3012
Phone
(510) 654-7525
Fax
(510) 654-7498
NPI assigned
Feb 13, 2008
Last updated
Aug 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Dr. Earl L Holloway III, M.D.
Title
President
Phone
(510) 654-7525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X G18104 CA Primary

Addresses

Primary practice location

3318 Elm St
Oakland, CA 94609-3012

Mailing address

3318 Elm St
Suite 2
Oakland, CA 94609-3013
Phone (510) 654-7525

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1336317205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 ELM ST",
            "address_2": "SUITE 2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093013",
            "telephone_number": "510-654-7525",
            "fax_number": "510-654-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 ELM ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093012",
            "telephone_number": "510-654-7525",
            "fax_number": "510-654-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL L. HOLLOWAY, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-654-7525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G18104",
            "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 Aug 2, 2013; 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.