Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Imhotep Issaquena Medical Group

Organization Primary Care Clinic/Center · NPI 1659405165

Imhotep Issaquena Medical Group is a Primary Care Clinic/Center in Oakland, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

401 29th St #206
Oakland, CA 94609-3519
Phone: (510) 231-0955
Fax: (510) 231-0482
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence G33795 (CA)

Record details

NPI number1659405165
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Otis Rounds — President · (510) 231-0955
NPI enumeratedMarch 15, 2007
Last updated in NPPESJune 27, 2008
Mailing address2023 Vale Rd, 211, San Pablo, CA 94806-3834

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