East Bay Special Imaging

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

EAST BAY SPECIAL IMAGING

Practice address

80 Grand Ave Ste 100
Oakland, CA 94612-3791

Phone

(510) 587-0650

Fax

(510) 587-0649

NPI assigned

Jan 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Chin, M.D.

Title

Managing Partner

Phone

(510) 587-0650

Specialties & licenses 1

Addresses

Other names 1

• East Bay Radiology and Pathology Other name

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1639316714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE STE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123791",
            "telephone_number": "510-587-0650",
            "fax_number": "510-587-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE STE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123791",
            "telephone_number": "510-587-0650",
            "fax_number": "510-587-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY SPECIAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "510-587-0650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Radiology and Pathology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• East Bay Primary Care Medical Group, Inc.
• East Bay Regional Critical Care and Pulmonary Medicine, Inc.
• East Bay Retina Consultants a Medical Group, Inc.
• East Bay Retina Consultants a Medical Group, Inc.
• East Bay Sleep Management
• East Bay Special Imaging Medical Group, Inc.
• East Bay Special Surgery LLC
• East Bay Vascular Medical Group
• East Bay Vision Center Optometry Inc
• East Bay Vision Center Optometry Inc

• Magnetic Resonance Imaging (MRI) Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.