East Bay Primary Care Medical Group, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EAST BAY PRIMARY CARE MEDICAL GROUP, INC.

Practice address

373 9TH St
Suite 403
Oakland, CA 94607-6514

Phone

(510) 465-3588

Fax

(510) 465-4369

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Yvonne Yeung, M.D.NPI 1144244096

Title

Officer

Phone

(510) 465-3588

Specialties & licenses 3

Addresses

Other identifiers 1

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

Practitioners 3

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

• Yvonne Yeung, M.D.

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1144244096
  Medicare reassignment Care Compare group NPD Authorized official
• Shiu-Lan Lui, M.D.

  • Family Medicine Physician
  • Oakland, CA
  • NPI 1912942772
  Medicare reassignment Care Compare group NPD
• Gina Ru-Jiun Wang, MD

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1619991510
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1902827892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 9TH ST",
            "address_2": "SUITE 403",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076514",
            "telephone_number": "510-465-3588",
            "fax_number": "510-465-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 9TH ST",
            "address_2": "SUITE 403",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946076514",
            "telephone_number": "510-465-3588",
            "fax_number": "510-465-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY PRIMARY CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "YEUNG",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "510-465-3588",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Bay Orthopaedic Specialists Medical Corporation
• East Bay Pain Care, Inc.
• East Bay Pediatric Cardiology Medical Group, Inc.
• East Bay Perinatal Medical Associates
• East Bay Physician'S Medical Group
• East Bay Regional Critical Care and Pulmonary Medicine, Inc.
• East Bay Retina Consultants a Medical Group, Inc.
• East Bay Retina Consultants a Medical Group, Inc.
• East Bay Sleep Management
• East Bay Special Imaging

• Internal Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.