Organization
NEUROLOGY MED ASSOCS CHO
Active
Organization
NEUROLOGY MED ASSOCS CHO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BIRNBAUM MD (HEAD OF DEPT)
(510) 428-3590
Entity
Organization
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3590
(510) 601-3974
Mailing address
3116 W MARCH LN, STE 200, STOCKTON, CA 95219-2369
(209) 473-6555
(209) 473-6543
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
G49267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G49267
DR BIRNBAUM'S CA MD LIC
CA
01
—
GR0094870
MEDI-CAL
CA
Enumeration date
02/23/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up