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NPI Code Detail

MEDICARE: EAST BAY REGIONAL CRITICAL CARE AND PULMONARY MEDICINE, INC.

MEDICARE: EAST BAY REGIONAL CRITICAL CARE AND PULMONARY MEDICINE, INC.
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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianFNP 32519CA
2207RP1001XPulmonary Disease PhysicianFNP 32519CA

General Provider Information

NPI Number : 1255385415
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST BAY REGIONAL CRITICAL CARE AND PULMONARY MEDICINE, INC.
Provider Business Mailing Address
First Line : 411 30TH ST
Second Line : SUITE 314
City : OAKLAND
State : CA
Zip : 94609-3312
Country : US
Telephone Number : 510-841-0689
Fax Number : 510-841-8119
Provider Business Practice Location Address
First Line : 411 30TH ST
Second Line : SUITE 314
City : OAKLAND
State : CA
Zip : 94609-3312
Country : US
Telephone Number : 510-465-6800
Fax Number : 510-268-0634
Authorized Official
Title or Position : CFO
Name : JAMES E MCFEELY
Credential : M.D.
Telephone Number : 510-465-6800
Provider Enumeration Date : 05/20/2006
Last Update Date : 01/12/2016

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Directions to “EAST BAY REGIONAL CRITICAL CARE AND PULMONARY MEDICINE, INC. ” Practice Location

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