Healthcare Provider Details

I. General information

NPI: 1447248778
Provider Name (Legal Business Name): JAMES L. NAUGHTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 APPIAN WAY SUITE 200
PINOLE CA
94564-2524
US

IV. Provider business mailing address

2160 APPIAN WAY SUITE 200
PINOLE CA
94564-2524
US

V. Phone/Fax

Practice location:
  • Phone: 510-724-9110
  • Fax: 916-239-3611
Mailing address:
  • Phone: 510-724-9110
  • Fax: 916-239-3602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberG26715
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG26715
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: