East Bay Rheumatology Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G38264 Issued in CA

Legal business name

EAST BAY RHEUMATOLOGY MEDICAL GROUP, INC.

Practice address

13851 E 14TH St Ste 301
San Leandro, CA 94578-2630

Phone

(510) 357-1303

Fax

(510) 357-5463

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Clark Michael Neuwelt, M.D.

Title

Doctor

Phone

(510) 357-1303

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Suneet Grewal, M.D.

  • Rheumatology Physician
  • West Hollywood, CA
  • NPI 1811264476
  Medicare reassignment Care Compare group NPD
• C. Michael Neuwelt, M.D.

  • Rheumatology Physician
  • San Leandro, CA
  • NPI 1598786790
  Medicare reassignment Care Compare group NPD
• Samuel NG

  • Student in an Organized Health Care Education/Training Program
  • San Francisco, CA
  • NPI 1619439262

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Jeremy Verango, AGNP-BC

  • Adult Health Nurse Practitioner
  • San Leandro, CA
  • NPI 1235535170
  Medicare reassignment NPD

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1891930673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 301",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782630",
            "telephone_number": "510-357-1303",
            "fax_number": "510-357-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 301",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782630",
            "telephone_number": "510-357-1303",
            "fax_number": "510-357-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY RHEUMATOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "NEUWELT",
        "authorized_official_first_name": "CLARK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "510-357-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G38264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Bay Agency for Children
• East Bay Agency for Children
• East Bay Foot & Ankle Clinic Inc
• East Bay Hand Medical Center, Inc
• East Bay Innovations
• East Bay Surgical Center LLC
• Quiana Easter
• Kiara Jaliyah Eastman, BEHAVIOR SPECIALIST
• Rachel Easton
• Sandra Villanueva Eaton, NP

• Specialist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.