East Bay Physicians Medical Group

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

EAST BAY PHYSICIANS MEDICAL GROUP

Practice address

89 Davis Rd
Suite 220
Orinda, CA 94563-3031

Phone

(925) 254-2008

NPI assigned

Jun 19, 2006

Last updated

Sep 11, 2025By 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

William Dewolf, MD

Title

President

Phone

(925) 254-2008

Specialties & licenses 9

Addresses

Other identifiers 17

Locations

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

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    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477598894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254869",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958654869",
            "telephone_number": "916-854-6634",
            "fax_number": "916-854-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 DAVIS RD",
            "address_2": "SUITE 220",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633031",
            "telephone_number": "925-254-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY PHYSICIANS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DEWOLF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-254-2008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
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            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0101862",
            "state": "CA"
        },
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            "identifier": "GR0101873",
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            "identifier": "GR0101868",
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            "identifier": "GR0101870",
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            "identifier": "GR0101872",
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        },
        {
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            "issuer": null,
            "identifier": "GR0101869",
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            "identifier": "GR0101871",
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        {
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            "identifier": "GR0101861",
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        {
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            "issuer": null,
            "identifier": "GR0101863",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "GR0101867",
            "state": "CA"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "GR0101874",
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        },
        {
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            "issuer": null,
            "identifier": "GR0101860",
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            "identifier": "GR0101866",
            "state": "CA"
        },
        {
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            "identifier": "GR0101875",
            "state": "CA"
        },
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            "identifier": "GR0101865",
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    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Doberenz, DDS
• Kelly Elaine Dombek
• Dr Kevin Wong DC Orinda Chiropractic Center PC (Orinda Chiropractic and Laser Center)
• East Bay Gynecologic Oncology
• East Bay Pediatrics Medical Group
• Ebmc Psychology, Inc (East Bay Mindfulness Center)
• John S. Edelen, M.D.
• Marlene Ingrid Ehlers, DC
• Sue N Elkind, PH.D.
• Encompass Connections

• Obstetrics & Gynecology Physician in Orinda, CA
• Providers in Orinda, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.