Healthcare Provider Details

I. General information

NPI: 1104021963
Provider Name (Legal Business Name): JOSHUA EDWARD KAYMAN M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 PARK ST STE 1051
ALAMEDA CA
94501-4507
US

IV. Provider business mailing address

1311 PARK ST STE 1051
ALAMEDA CA
94501-4507
US

V. Phone/Fax

Practice location:
  • Phone: 562-314-4466
  • Fax: 480-900-8584
Mailing address:
  • Phone: 562-314-4466
  • Fax: 480-900-8584

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA108111
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberA108111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: