East Bay Trauma & Acute Care Surgery Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A87104 Issued in CA

Legal business name

EAST BAY TRAUMA & ACUTE CARE SURGERY INC.

Practice address

19845 Lake Chabot Rd
200
Castro Valley, CA 94546-4055

Phone

(510) 538-5500

Fax

(510) 538-5505

NPI assigned

Apr 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Saba Azimi, MD

Title

Director

Phone

(510) 538-5500

Specialties & licenses 1

Addresses

Practitioners 2

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

• Joseph Anthony Karam, MD

  • Trauma Surgery Physician
  • Northridge, CA
  • NPI 1922097054
  NPD (past)
• Vance La Baron Smith, M.D.

  • Surgery Physician
  • San Francisco, CA
  • NPI 1942414511
  NPD (past)

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1982960084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19845 LAKE CHABOT ROAD",
            "address_2": "200",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464055",
            "telephone_number": "510-538-5500",
            "fax_number": "510-538-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19845 LAKE CHABOT RD",
            "address_2": "200",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464055",
            "telephone_number": "510-538-5500",
            "fax_number": "510-538-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY TRAUMA & ACUTE CARE SURGERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "AZIMI",
        "authorized_official_first_name": "SABA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-538-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A87104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Ang Dy, MD
• Thomas Eales, DO
• East Bay Medical Surgical Center LP
• East Bay Radiation Oncology Medical Group, Inc.
• East Bay Regional Park District
• Analise Marie Eastman Hawkins, MS, FNP
• Lucy Edeh, LVN
• Robert Edelman, M.D.
• Eden Counseling Services
• Eden Emergency Medical Group Inc

• All providers in Castro Valley, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.