Preventive Care Pathways | |
5709 Market St Ste A Oakland CA 94608-2811 | |
(510) 444-9460 | |
(510) 444-1966 |
Full Name | Preventive Care Pathways |
---|---|
Speciality | Clinic/Center |
Location | 5709 Market St Ste A, Oakland, California |
Authorized Official Name and Position | Henry Geoffrey Watson (MEDICAL DIRECTOR) |
Authorized Official Contact | 5104449460 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Preventive Care Pathways 5709 Market St Ste A Oakland CA 94608-2811 Ph: (510) 444-9460 | Preventive Care Pathways 5709 Market St Ste A Oakland CA 94608-2811 Ph: (510) 444-9460 |
NPI Number | 1538431432 |
---|---|
Provider Enumeration Date | 02/08/2012 |
Last Update Date | 02/09/2012 |
Medicare PECOS PAC ID | 8729486949 |
---|---|
Medicare Enrollment ID | O20211001001352 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538431432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | C41403 (California) | Primary |
Provider Name | Adam Bray |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679131007 PECOS PAC ID: 1850711680 Enrollment ID: I20240701000574 |
Roosevelt School-based Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1926 E 19th St, Oakland, CA 94606 Phone: 510-535-4000 | |
Oakland Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 28th St, Oakland, CA 94609 Phone: 510-452-4824 Fax: 510-465-4503 | |
Treble Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 490 43rd St Unit 106, Oakland, CA 94609 Phone: 800-865-3142 | |
Randall Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 30th St, #100, Oakland, CA 94609 Phone: 510-342-2239 Fax: 510-380-7143 |