Active NPI
Cornerstone Integrative Medicine
- Internal Medicine Physician
- Oakland, CA
National Provider Identifier
1881249332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CORNERSTONE INTEGRATIVE MEDICINE
- Practice address
- 3012 Summit St Ste 2675
Oakland, CA 94609-3480 - Phone
- (510) 869-6740
- Fax
- (510) 869-6742
- NPI assigned
- Aug 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Li Matecki
- Title
- Ceo Partner, Co-Owner
- Phone
- (510) 869-6740
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
3012 Summit St Ste 2675
Oakland, CA 94609-3480
Mailing address
3012 Summit St Ste 2675
Oakland, CA 94609-3480
Phone (510) 326-4649
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346573094 | Medicaid | CA | |
| 1790937506 | Medicaid | CA | |
| 1932538121 | Medicaid | CA | |
| 1831124080 | Medicaid | CA | |
| 1861427684 | Medicaid | CA | |
| 1770571077 | Medicaid | CA | |
| 1245404607 | Medicaid | TN | |
| 1558678201 | Medicaid | CA | |
| 1003114463 | Medicaid | CA | |
| 1295995256 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Oakland, CA
- NPI 1770571077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786492800000",
"number": "1881249332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 SUMMIT ST STE 2675",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093480",
"telephone_number": "510-326-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 SUMMIT ST STE 2675",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093480",
"telephone_number": "510-869-6740",
"fax_number": "510-869-6742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE INTEGRATIVE MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-01",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A",
"authorized_official_last_name": "MATECKI",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "LI",
"authorized_official_title_or_position": "CEO PARTNER, CO-OWNER",
"authorized_official_telephone_number": "510-869-6740"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346573094",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790937506",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932538121",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831124080",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861427684",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770571077",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245404607",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558678201",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003114463",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295995256",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.