East Bay Pediatrics Medical Group
Organization Active NPI Pediatrics Physician · Orinda, CA
NPI 1811078017 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1811078017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- EAST BAY PEDIATRICS MEDICAL GROUP
- Practice address
- 96 Davis Rd
Suite 2
Orinda, CA 94563-3041 - Phone
- (925) 254-9203
- Fax
- (510) 841-5650
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Richard L. Oken, M.D.
- Title
- Managing Partner
- Phone
- (925) 254-9203
Practitioners 11
-
Marcia E. Charles-Mo, M.D.
-
Juliana L. Damon, M.D.
-
Tracy M. Evans-Ramsey, M.D.
-
Sarah Cahn Handelsman, M.D.
-
Ted Handler, M.D.
-
Bethany Hodges, M.D.
-
Lilia R Oceguera, M.D.
-
Courtney Wedl Pickering, M.D.
-
Christina S Vo, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0880264 | East Bay Pediatric Medical Group | Certificate of waiver | Apr 3, 2028 |
National Provider Directory
Locations
96 Davis Rd
Orinda, CA 94563
96 Davis Rd
Ste 2
Orinda, CA 94563
Phone (925) 254-1054
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
96 Davis Rd
Suite 2
Orinda, CA 94563-3041
Mailing address
96 Davis Rd
Orinda, CA 94563-3041
Phone (925) 254-9203
Other providers in Orinda, CA
- Baljit Dhillon
- Kristi Doberenz
- Kelly Elaine Dombek
- Dr Kevin Wong DC Orinda Chiropractic Center PC
- East Bay Gynecologic Oncology
- East Bay Physicians Medical Group
- Ebmc Psychology, Inc
- John S. Edelen
- Marlene Ingrid Ehlers
- Sue N Elkind
All providers in Orinda, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.