Individual provider Active NPI

Eve F Yalom, MD

  • Obstetrics & Gynecology Physician
  • Oakland, CA
National Provider Identifier
1417965385
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G68247 Issued in CA
Practice address
350 30TH St. #205
Provider Enrollment
Oakland, CA 94609
Phone
(510) 444-0790
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G68247 CA Primary
Obstetrics Physician 207VX0000X 2004030809 MO

Addresses

Primary practice location

350 30TH St. #205
Provider Enrollment
Oakland, CA 94609

Mailing address

350 30TH St. #205
Provider Enrollment
Oakland, CA 94609
Phone (510) 444-0790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100706000036 CA Practitioner - Obstetrics/Gynecology 4284673534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Clinica de la Raza IncGroup PAC ID 1557258282, 130 clinicians

Practice addresses (Care Compare)

1501 Fruitvale Ave
Oakland, CA 94601-2322
Phone (510) 535-6200

1515 Fruitvale Ave
Oakland, CA 94601-2322
Phone (510) 535-6300

1515 Fruitvale Ave
Oakland, CA 94601-2355

3050 E 16TH St
Oakland, CA 94601-2319
Phone (510) 535-4700

3060 E 9TH St
Suite B
Oakland, CA 94601-2925
Phone (510) 535-4141

3451 E 12TH St
Oakland, CA 94601-3463
Phone (510) 535-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G68247CAMDObstetrics & Gynecology Physician
2004030809MOMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jul 24, 2017 Accepting new patients
La Clinica de la Raza Inc CurrentSince Mar 1, 2021 Accepting new patients
La Clinica de la Raza Inc Current Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Nov 9, 2015 Accepting new patients
Permanente Medical Group Inc Obstetrics & Gynecology CurrentSince Jul 24, 2017 Accepting new patients
East Bay Perinatal Medical Associates Past Accepting new patients
SLH Vista, Inc. Past Accepting new patients
SSM Regional Health Services Past Accepting new patients
La Clinica de la Raza, Inc. Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1030 International Blvd
Oakland, CA 94606
Phone (510) 238-5400

3451 E 12th St
Oakland, CA 94601
Phone (510) 535-3319

1800 Harrison St
Fl 7
Oakland, CA 94612

3451 E 12th St
Fl 2
Oakland, CA 94601
Phone (510) 535-3319

2021 Main St
Oakley, CA 94561
Phone (925) 776-8200

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1301 Pinole Valley Rd
Pinole, CA 94564
Phone (510) 243-4000

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1417965385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 30TH ST. #205",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-444-0790",
            "fax_number": "314-977-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 30TH ST. #205",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-444-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALOM",
        "first_name": "EVE",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G68247",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MO",
            "license": "2004030809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.