Organization Active NPI

East Oakland Obs GYN Med GP Inc

  • Obstetrics & Gynecology Physician
  • Oakland, CA
National Provider Identifier
1447250998
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G100160 Issued in CA
Legal business name
EAST OAKLAND OBS GYN MED GP INC
Practice address
9925 International Blvd
Ste 1
Oakland, CA 94603
Phone
(510) 638-1250
Fax
(510) 638-2590
NPI assigned
Jul 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward Charles Lampley Sr., MD
Title
President
Phone
(510) 638-1258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G100160 CA Primary

Addresses

Primary practice location

9925 International Blvd
Ste 1
Oakland, CA 94603

Mailing address

PO Box 6097
Oakland, CA 94603-0097
Phone (510) 638-1250

Other identifiers 1

IdentifierTypeStateIssuer
00G100160MedicaidCA

National Provider Directory

National Provider Directory

Locations

9925 International Blvd
Ste 1
Oakland, CA 94603
Phone (510) 638-1250

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447250998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6097",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946030097",
            "telephone_number": "510-638-1250",
            "fax_number": "510-638-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 INTERNATIONAL BLVD",
            "address_2": "STE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94603",
            "telephone_number": "510-638-1250",
            "fax_number": "510-638-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST OAKLAND OBS GYN MED GP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMPLEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-638-1258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G100160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G100160",
            "state": "CA"
        }
    ],
    "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 22, 2020; 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.