East Bay Health Medical Group SPC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EAST BAY HEALTH MEDICAL GROUP SPC

Practice address

911 Moraga Rd Ste 101
Lafayette, CA 94549-4591

Phone

(925) 444-7073

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Naomi Breckon, MDNPI 1407475395

Title

Ceo

Phone

(925) 744-7600

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Naomi Leah Breckon, MD

  • Family Medicine Physician
  • Lafayette, CA
  • NPI 1407475395
  NPD Authorized official

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1780466201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD STE 101",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494591",
            "telephone_number": "925-444-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD STE 101",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494591",
            "telephone_number": "925-444-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY HEALTH MEDICAL GROUP SPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BRECKON",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-744-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Louise Drouin, N.D.
• Angelina Drummer
• Lesley Drummond
• Dudum Dental Inc
• Ariana Dulberg, LMFT
• East Bay Shoulder Clinic and Sports Rehabilitation, Inc
• Lorrie K. Eaton, D.C.
• Mary Lorraine Ehlers-Flint, PHD
• Eman Ahmed Elbeialy, PHARMD
• Krista Elder

• All providers in Lafayette, CA
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.