Healthcare Provider Details

I. General information

NPI: 1174675532
Provider Name (Legal Business Name): MICHAEL ALAN SHEINBERG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 10/22/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 52ND ST
OAKLAND CA
94609
US

IV. Provider business mailing address

1701 EL NIDO UNIT 698
DIABLO CA
94528-1137
US

V. Phone/Fax

Practice location:
  • Phone: 510-428-3000
  • Fax: 510-450-5836
Mailing address:
  • Phone: 408-430-5650
  • Fax: 408-444-8845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberDR.0047236
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberA69129
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: