Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

East Bay Special Imaging Medical Group, Inc

Organization Diagnostic Radiology Physician · NPI 1871731299

East Bay Special Imaging Medical Group, Inc provides Diagnostic Radiology Physician services in Oakland, California. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

80 Grand Ave Ste 100
Oakland, CA 94612-3725 Not confirmed with CMS for 14 years — call before visiting
Phone: (510) 587-0650
Fax: (510) 587-0649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Magnetic Resonance Imaging (MRI) Clinic/Center Taxonomy 261QM1200X
Radiology Clinic/Center Taxonomy 261QR0200X

Record details

NPI number1871731299
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Chin — Managing Partner · (510) 451-6950
Other names East Bay Special Imaging
NPI enumeratedJanuary 22, 2009
Last updated in NPPESDecember 20, 2011
Mailing addressPo Box 1017, Lafayette, CA 94549-1017

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