Healthcare Provider Details

I. General information

NPI: 1568487429
Provider Name (Legal Business Name): EAST BAY HOSPITALISTS, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 02/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 YGNACIO VALLEY RD
WALNUT CREEK CA
94598-3122
US

IV. Provider business mailing address

801 YGNACIO VALLEY RD SUITE 250
WALNUT CREEK CA
94596-3871
US

V. Phone/Fax

Practice location:
  • Phone: 925-939-3000
  • Fax: 925-946-9717
Mailing address:
  • Phone: 925-946-1080
  • Fax: 925-946-9717

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER H ROWE
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 925-946-1080