Jeffrey L. Black, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G14907 Issued in CA

Practice address

418 30TH St
Oakland, CA 94609-3302

Phone

(925) 274-4950

Fax

(925) 274-4975

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affiliates in Imaging, a Medical Group Inc

  • Diagnostic Radiology Physician
  • Oakland, CA
  • NPI 1083608541
  NPD (past)
• Pacific Imaging Consultants, a Medical Group, Inc.

  • Diagnostic Radiology Physician
  • Oakland, CA
  • NPI 1265480099
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1760474035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 30TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093302",
            "telephone_number": "925-274-4950",
            "fax_number": "925-274-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 30TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093302",
            "telephone_number": "925-274-4950",
            "fax_number": "925-274-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JEFFREY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G14907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sungila Wanbli Win Black Calf
• Black Men Speak, Inc.
• Alex Ren Black
• Christina Alexis Black
• Helena Black, MD
• Sierra Autumn Black, M.A.
• Steven B. Black, MD
• Zackary Howard Black
• Blackbird Family Therapy, Inc.
• Blackbird Institute

• Diagnostic Radiology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.