Healthcare Provider Details

I. General information

NPI: 1659735041
Provider Name (Legal Business Name): AUSTIN JOSEPH CAUSEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HAWTHORNE AVE RM 2304
OAKLAND CA
94609-3108
US

IV. Provider business mailing address

PO BOX 1258
SAN RAMON CA
94583-6258
US

V. Phone/Fax

Practice location:
  • Phone: 510-869-8373
  • Fax: 510-869-8375
Mailing address:
  • Phone: 925-962-1800
  • Fax: 925-962-1801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License Number036149716
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: