Provider Demographics
NPI:1235126749
Name:HELTON, JAMES GREGG (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:GREGG
Last Name:HELTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:747 52ND ST
Mailing Address - Street 2:CARDIOLOGY
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1809
Mailing Address - Country:US
Mailing Address - Phone:510-428-3294
Mailing Address - Fax:510-428-3381
Practice Address - Street 1:747 52ND ST
Practice Address - Street 2:CARDIOLOGY
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1809
Practice Address - Country:US
Practice Address - Phone:510-428-3294
Practice Address - Fax:510-428-3381
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG626232080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G626230Medicaid