Individual provider Active NPI

Earl Michael Darby, MD

  • Gastroenterology Physician
  • Oakland, CA
National Provider Identifier
1790743292
Registry record updated Nov 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G388160 Issued in CA
Practice address
300 Frank H Ogawa PLZ
Suite 450
Oakland, CA 94612-2037
Phone
(510) 444-3297
Fax
(510) 444-6421
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G388160 CA Primary

Addresses

Primary practice location

300 Frank H Ogawa PLZ
Suite 450
Oakland, CA 94612-2037

Mailing address

300 Frank H Ogawa PLZ
Suite 450
Oakland, CA 94612-2037
Phone (510) 444-3297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000561 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 4183510100 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G388160CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Center for Digestive Health Medical Associates, Inc Gastroenterology CurrentSince Oct 29, 2004 Accepting new patients

Locations

3300 Webster St
Ste 312
Oakland, CA 94609
Phone (510) 444-3297

300 Ogawa Plz
Ste 450
Oakland, CA 94612
Phone (510) 433-7821

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15506/brand/4/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1790743292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRANK H OGAWA PLZ",
            "address_2": "SUITE 450",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122037",
            "telephone_number": "510-444-3297",
            "fax_number": "510-444-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRANK H OGAWA PLZ",
            "address_2": "SUITE 450",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122037",
            "telephone_number": "510-444-3297",
            "fax_number": "510-444-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBY",
        "first_name": "EARL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G388160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.