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East Bay Family Practice Medical Group Inc

Family Medicine Physician in Oakland, CA · enumerated 2005 · authorized official Audrey D'Andrea, Vice President Share Holder.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154313237

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Registry record

Entity type Organization (Type 2)
Legal business name East Bay Family Practice Medical Group Inc
Practice address 3100 Telegraph Ave, Ste 2109, Oakland, CA, 94609
Fax (510) 645-9919
Enumeration date Aug 16, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Audrey D'Andrea
Title Vice President Share Holder

Other identifiers

Identifier Type State Issuer
GR0003490 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for East Bay Family Practice Medical Group Inc?
NPPES lists Audrey D'Andrea (Vice President Share Holder) as the authorized official for this organization.
What is the NPI number for East Bay Family Practice Medical Group Inc?
The NPI for East Bay Family Practice Medical Group Inc is 1154313237, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.