East Oakland Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

EAST OAKLAND PEDIATRICS INC

Practice address

5461 Foothill Blvd
Oakland, CA 94601

Phone

(510) 532-0918

Fax

(510) 532-0956

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Carol Elizabeth Glann, MD

Title

Pediatrician

Phone

(510) 532-0918

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659445344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 FOOTHILL BLVD",
            "address_2": "EAST OAKLAND PEDIATRICS INC",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94601",
            "telephone_number": "510-532-0918",
            "fax_number": "510-532-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 FOOTHILL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94601",
            "telephone_number": "510-532-0918",
            "fax_number": "510-532-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST OAKLAND PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLANN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "510-532-0918",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Easter Seals Bay Area
• Michael B Easter
• Walter R. Easter, DDS
• Jameela Easterling
• Paul M Easterwood, BOC

• Pediatrics Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.