East Bay ENT Fac Plas SG MD GRP Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

C031854 Issued in CA

Legal business name

EAST BAY ENT FAC PLAS SG MD GRP INC

Practice address

5401 Norris Canyon Rd
Suite 302
San Ramon, CA 94583-5409

Phone

(925) 277-9000

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Stephen Larmore, M.D.

Title

Owner

Phone

(925) 277-9000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1902099765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD",
            "address_2": "SUITE 302",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835409",
            "telephone_number": "925-277-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 NORRIS CANYON RD",
            "address_2": "SUITE 302",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945835409",
            "telephone_number": "925-277-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY ENT FAC PLAS SG MD GRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "LARMORE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-277-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "C031854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Duran
• Vanessa Alfaro Duran
• Vanessa Dysin
• East Bay ABA
• East Bay ABA Group
• East Bay Eye Centers Medical Corporation
• East Bay Medical Imaging LLC
• East Bay Retina Consultants a Medical Group, Inc.
• John G Eberle, DDS
• Janet Alexis Eckart, PHD

• Exclusive Provider Organization in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.