Healthcare Provider Details
I. General information
NPI: 1144191859
Provider Name (Legal Business Name): OURERA MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/16/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
66 FRANKLIN ST STE 300
OAKLAND CA
94607-3734
US
IV. Provider business mailing address
66 FRANKLIN ST STE 300
OAKLAND CA
94607-3734
US
V. Phone/Fax
- Phone: 510-948-7858
- Fax: 765-375-0254
- Phone: 510-948-7858
- Fax: 765-375-0254
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
BRIAN
ROBERT
CLEAR
Title or Position: CEO
Credential: MD
Phone: 510-948-7858