Healthcare Provider Details
I. General information
NPI: 1649181298
Provider Name (Legal Business Name): GOOD HEALTH PERINATAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2605 38TH AVE
OAKLAND CA
94619-1003
US
IV. Provider business mailing address
2605 38TH AVE
OAKLAND CA
94619-1003
US
V. Phone/Fax
- Phone: 510-214-6853
- Fax:
- Phone: 510-214-6853
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAYVON
MUHAMMAD
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LM
Phone: 415-244-7901