Organization Active NPI

Macarthur Gastroenterology Inc.

  • Endoscopy Clinic/Center
  • Oakland, CA
National Provider Identifier
1679884829
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
00G490990 Issued in CA
Legal business name
MACARTHUR GASTROENTEROLOGY INC.
Practice address
10520 Macarthur Blvd
Oakland, CA 94605-5248
Phone
(510) 562-7467
Fax
(510) 635-9025
NPI assigned
Jun 22, 2010
Last updated
Jun 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Renee Darnice Williman
Title
Practice Administrator
Phone
(510) 562-7467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 00G490990 CA Primary

Addresses

Primary practice location

10520 Macarthur Blvd
Oakland, CA 94605-5248

Mailing address

PO Box 5518
Oakland, CA 94605-0518
Phone (510) 562-7467

National Provider Directory

National Provider Directory

Locations

10520 MacArthur Blvd
Oakland, CA 94605
Phone (510) 562-7467

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1679884829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5518",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946050518",
            "telephone_number": "510-562-7467",
            "fax_number": "510-635-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055248",
            "telephone_number": "510-562-7467",
            "fax_number": "510-635-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACARTHUR GASTROENTEROLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "WILLIMAN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "DARNICE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "510-562-7467"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CA",
            "license": "00G490990",
            "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 Jun 22, 2010; 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.