East Bay Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A77244 Issued in CA

Legal business name

EAST BAY PEDIATRICS INC

Practice address

2324 Santa Rita Rd
Suite 12
Pleasanton, CA 94566-4152

Phone

(925) 462-7700

Fax

(925) 462-7700

NPI assigned

Sep 4, 2006

Organization subpart

Yes

Parent organization

EAST BAY PEDIATRICS INCAs reported in NPPES

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

Authorized official

Name

Dr. Elmer Jumig, MDNPI 1417926437

Title

President

Phone

(925) 462-7700

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• East Bay Pediatric Primary Care Inc Doing business as

Part of

East Bay Pediatrics Inc

Practitioners 1

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

• Elmer Alagao Jumig, MD

  • Pediatrics Physician
  • Pleasanton, CA
  • NPI 1417926437
  NPD (past) Authorized official

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1831291350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA RD",
            "address_2": "SUITE 12",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664152",
            "telephone_number": "925-462-7700",
            "fax_number": "925-462-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA RD",
            "address_2": "SUITE 12",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664152",
            "telephone_number": "925-462-7700",
            "fax_number": "925-462-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY PEDIATRICS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST BAY PEDIATRICS INC",
        "enumeration_date": "2006-09-04",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "JUMIG",
        "authorized_official_first_name": "ELMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-462-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A77244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE ID #",
            "identifier": "95999",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A772440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "06311574",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "7473685",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED PROVIDER #",
            "identifier": "2667817",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Pediatric Primary Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• East Bay Medical Professional Corporation
• East Bay Retina Consultants a Medical Group, Inc.
• East Bay Spine Specialists Inc a Medical Corporation
• East Bay Surgery Center
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• Kathryn C. Econome, MD

• Pediatrics Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.