Healthcare Provider Details

I. General information

NPI: 1033313838
Provider Name (Legal Business Name): INTERNISTS MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 MCCLURE ST SUITE 1
OAKLAND CA
94609-3505
US

IV. Provider business mailing address

2930 MCCLURE ST SUITE 1
OAKLAND CA
94609-3505
US

V. Phone/Fax

Practice location:
  • Phone: 510-444-2155
  • Fax: 510-444-0274
Mailing address:
  • Phone: 510-444-2155
  • Fax: 510-444-0274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG38113
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberG38113
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License NumberG38113
License Number StateCA

VIII. Authorized Official

Name: DR. ROBERT DAVID TUFFT
Title or Position: OWNER
Credential: MD
Phone: 510-444-2155