East Bay Integrated Care Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EAST BAY INTEGRATED CARE INC

Practice address

3470 Buskirk Avenue
Pleasant Hill, CA 94523-4316

Phone

(925) 887-5678

Fax

(925) 887-5672

NPI assigned

Dec 22, 2014

Organization subpart

Yes

Parent organization

EAST BAY INTEGRATED CARE, INCAs reported in NPPES

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

Authorized official

Name

Ms. Cynthia Hatton

Title

President

Phone

(925) 887-5678

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

East Bay Integrated Care in

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.

• East Bay Integrated Care, Inc

  dba Hospice of the East Bay

  • Home Health Agency
  • Pleasant Hill, CA
  • NPI 1205946555
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Halie Gomez

  • Behavior Technician
  • Concord, CA
  • NPI 1316517600
  NPD
• Stephanie Marquet, MD

  • Hospitalist Physician
  • Oakland, CA
  • NPI 1194800854
  NPD

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1659769826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 BUSKIRK AVENUE",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234316",
            "telephone_number": "925-887-5678",
            "fax_number": "925-887-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 BUSKIRK AVENUE",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234316",
            "telephone_number": "925-887-5678",
            "fax_number": "925-887-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY INTEGRATED CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST BAY INTEGRATED CARE, INC",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "HATTON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-887-5678",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57262F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01547F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan David Durrance, DC
• Jenyce Rae Dutcher
• Vincent Brian Dvorak
• Sarah Ellen Eapen, PA
• Earth and Air Wellness Acupuncture & Alternative Medicine Inc
• East Bay Integrated Care, Inc (Hospice of the East Bay)
• Easter Seals Bay Area
• Antwanette Elizabeth Edwards
• Shaunna Jeanne Edwards, LCSW
• Monika Katalin Elek, D.D.S.

• Internal Medicine Physician in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.