Provider Demographics
NPI:1134130800
Name:EAST BAY SLEEP MEDICAL GROUP
Entity Type:Organization
Organization Name:EAST BAY SLEEP MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-204-1894
Mailing Address - Street 1:3017 TELEGRAPH AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2049
Mailing Address - Country:US
Mailing Address - Phone:510-841-0689
Mailing Address - Fax:510-841-8119
Practice Address - Street 1:2151 APPIAN WAY
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2514
Practice Address - Country:US
Practice Address - Phone:510-741-2525
Practice Address - Fax:510-724-2189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFNP29542207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty