Organization · NPI-2

Alameda Pacific Medical Group

· Walnut Creek, CA

NPI number1033967955

StatusActive

Last updated in NPPESDec 6, 2024

Details

NPI: 1033967955
Entity type: Organization (NPI-2)
Legal business name: Alameda Pacific Medical Group
Organization subpart: No
Enumeration date: May 7, 2024
Certification date: Dec 6, 2024
Last updated: Dec 6, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208VP0000X		–	–	Yes
207QA0401X	Family Medicine, Addiction Medicine	–	–
207R00000X	Internal Medicine	–	–
2083A0300X	Preventive Medicine, Addiction Medicine	–	–
2083X0100X	Preventive Medicine, Occupational Medicine	–	–
208VP0014X	Pain Medicine, Interventional Pain Medicine	–	–
261QP3300X	Clinic/Center, Pain	–	–

Practice location

1460 Maria Ln Ste 300
Walnut Creek, CA 94596-5314

Phone 341-217-8411

Mailing address

C/O Jacob Horn
Po Box 722
Berkeley, CA 94701

Authorized official

Jessica Feliciano
Admin
9106320974

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.