Myofascial Restoration and Integration Pomc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MYOFASCIAL RESTORATION AND INTEGRATION POMC

Doing business as

Myofascial Restoration and Integration

Practice address

411 30TH St Ste 314
Oakland, CA 94609-3312

Phone

(925) 326-8471

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Edward T Verceles, DO

Title

Owner, Authorized Official

Phone

(925) 326-8471

Specialties & licenses 2

Addresses

Other names 1

• Myofascial Restoration and Integration Doing business as

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1356916290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SAINT GERMAIN LN",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945231135",
            "telephone_number": "925-326-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 30TH ST STE 314",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093312",
            "telephone_number": "925-326-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOFASCIAL RESTORATION AND INTEGRATION POMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "VERCELES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER,  AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "925-326-8471",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myofascial Restoration and Integration",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Myofascial Restoration and Integration",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keely Sue Myers
• Zane Andrew Myers
• Florence C. Myint-Dun, MD
• Sann Sann Myint, MHS
• Evyenia Mirianthi Mylordos, AMFT
• Alice S Myong, PHARMD
• Yeji NA, RN
• Yurianna Hyechong NA, LCSW
• Mark R Naas, PSY
• Unes Nabipour, DDS

• General Practice Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.