MEDICARE: INTERNISTS MEDICAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G38113	CA
2	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	G38113	CA
3	2083P0011X	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	G38113	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033313838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNISTS MEDICAL GROUP

Provider Business Mailing Address
First Line	:	2930 MCCLURE ST
Second Line	:	SUITE 1
City	:	OAKLAND
State	:	CA
Zip	:	94609-3505
Country	:	US
Telephone Number	:	510-444-2155
Fax Number	:	510-444-0274

Provider Business Practice Location Address
First Line	:	2930 MCCLURE ST
Second Line	:	SUITE 1
City	:	OAKLAND
State	:	CA
Zip	:	94609-3505
Country	:	US
Telephone Number	:	510-444-2155
Fax Number	:	510-444-0274

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT DAVID TUFFT
Credential	:	MD
Telephone Number	:	510-444-2155

Provider Enumeration Date	:	06/14/2007
Last Update Date	:	09/11/2025

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Directions to “INTERNISTS MEDICAL GROUP ” Practice Location

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