Organization
EAST BAY PHYSICIANS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DEWOLF MD (PRESIDENT)
(925) 254-2008
Entity
Organization
Contact information
Practice address
89 DAVIS RD, SUITE 220, ORINDA, CA 94563-3031
(925) 254-2008
Mailing address
PO BOX 254869, SACRAMENTO, CA 95865-4869
(916) 854-6634
(916) 854-6739
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101860
—
CA
05
—
GR0101861
—
CA
05
—
GR0101862
—
CA
05
—
GR0101863
—
CA
05
—
GR0101864
—
CA
05
—
GR0101865
—
CA
05
—
GR0101866
—
CA
05
—
GR0101867
—
CA
05
—
GR0101868
—
CA
05
—
GR0101869
—
CA
05
—
GR0101870
—
CA
05
—
GR0101871
—
CA
05
—
GR0101872
—
CA
05
—
GR0101873
—
CA
05
—
GR0101874
—
CA
05
—
GR0101875
—
CA
05
—
GR0101876
—
CA
Enumeration date
06/19/2006
Last updated
09/11/2025
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