CHILDREN'S CRITICAL CARE MEDICAL GROUP, INC. – NPI #1881797157
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Health Care Provider Taxonomy Code for Pediatrics

CHILDREN'S CRITICAL CARE MEDICAL GROUP, INC. is a provider located in OAKLAND, CA. NPPES has assigned the NPI number 1881797157 to CHILDREN'S CRITICAL CARE MEDICAL GROUP, INC. on September 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILDREN'S CRITICAL CARE MEDICAL GROUP, INC. below.

NPI Profile for
CHILDREN'S CRITICAL CARE MEDICAL GROUP, INC.

NPI Number
1881797157
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILDREN'S CRITICAL CARE MEDICAL GROUP, INC.
Primary location
747 52ND STREET
OAKLAND, CA 94609
Phone: (510) 428-3710 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES HANSON
PRESIDENT
Phone: (510) 428-3710
Updated
Identifiers

Identifiers for CHILDREN'S CRITICAL CARE MEDICAL GROUP, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0047690
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)		 CA G53697

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.