Organization Active NPI

East Bay Primary and Preventive Care Medical Corp

  • Family Medicine Physician
  • Berkeley, CA
National Provider Identifier
1497834121
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A066461 Issued in CA
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

Updated by the provider on Sep 30, 2008

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

Authorized official

Name
Dr. Don Weinreich, M.D.NPI 1053380519
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.