EAST BAY VASCULAR MEDICAL GROUP – NPI #1861503351
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

EAST BAY VASCULAR MEDICAL GROUP is a surgeon located in OAKLAND, CA. NPPES has assigned the NPI number 1861503351 to EAST BAY VASCULAR MEDICAL GROUP on August 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 18 years ago on Jan 30, 2008. 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 EAST BAY VASCULAR MEDICAL GROUP below.

NPI Profile for
EAST BAY VASCULAR MEDICAL GROUP

NPI Number
1861503351
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
EAST BAY VASCULAR MEDICAL GROUP
Primary location
365 HAWTHORNE AVE
SUITE 103
OAKLAND, CA 94609-3107
Phone: (510) 832-6131 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NANCI WEBB
PRACTICE MANAGER
Phone: (510) 832-6131
Updated
Identifiers

Identifiers for EAST BAY VASCULAR MEDICAL GROUP

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
MEDICAIDCAZZZ82873Z
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
2086S0129X
- Surgery / Vascular Surgery (Primary)

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.