Organization Active NPI

Journey Health Services Inc.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1639898901
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOURNEY HEALTH SERVICES INC.
Practice address
2323 Broadway
Oakland, CA 94612-2414
Phone
(415) 848-9111
Fax
(415) 848-9111
NPI assigned
Aug 22, 2022
Organization subpart
Yes
Parent organization
JOURNEY HEALTH MEDICAL GROUP OF CALIFORNIAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Philip Morris
Title
Owner
Phone
(415) 848-9111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2323 Broadway
Oakland, CA 94612-2414

Mailing address

4096 Piedmont Ave # 609
Oakland, CA 94611-5221

National Provider Directory

National Provider Directory
Part of
Journey Health Med Group

Locations

2323 Broadway
Oakland, CA 94612
Phone (510) 457-1064

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1639898901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4096 PIEDMONT AVE # 609",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122414",
            "telephone_number": "415-848-9111",
            "fax_number": "415-848-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY HEALTH SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOURNEY HEALTH MEDICAL GROUP OF CALIFORNIA",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-848-9111"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 29, 2022; 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.