Active NPI
East Bay Primary and Preventive Care Medical Corp
- Family Medicine Physician
- Berkeley, CA
National Provider Identifier
1497834121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A066461
- Legal business name
- EAST BAY PRIMARY AND PREVENTIVE CARE MEDICAL CORP
- Practice address
- 3000 Colby St
#307
Berkeley, CA 94705-2058 - Phone
- (510) 848-5310
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Don Weinreich, M.D.
- Title
- President
- Phone
- (510) 848-5310
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A066461 | CA | Primary |
Addresses
Primary practice location
3000 Colby St
#307
Berkeley, CA 94705-2058
Mailing address
3000 Colby St
#307
Berkeley, CA 94705-2058
Phone (510) 848-5310
National Provider Directory
National Provider DirectoryLocations
3000 Colby St
Ste 307
Berkeley, CA 94705
Phone (510) 848-2100
29 Orinda Way
Unit 518
Orinda, CA 94563
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Berkeley, CA
- NPI 1053380519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222732800000",
"number": "1497834121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 COLBY ST",
"address_2": "#307",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052058",
"telephone_number": "510-848-5310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 COLBY ST",
"address_2": "#307",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052058",
"telephone_number": "510-848-5310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST BAY PRIMARY AND PREVENTIVE CARE MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-03",
"last_updated": "2008-09-30",
"status": "A",
"authorized_official_last_name": "WEINREICH",
"authorized_official_first_name": "DON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-848-5310",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A066461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.