OrganizationActive
Easter Seals Northern California
NPI 1124347000 · Developmental - Behavioral Pediatrics Physician · Novato, CA
Provider details
- NPI number
- 1124347000
- Entity type
- Organization
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary O'Brien, Director, Accounting & Human Resour(415) 382-7450
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Public Health or Welfare Agency251K00000X
Agencies
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 Pimentel Ct Ste A1
Novato, CA 94949-5656
Phone: (415) 382-7450
Fax: (415) 385-7457
Street-level locationGet directions
Mailing address
20 Pimentel Ct Ste A1
Novato, CA 94949-5656
Registry dates
- Enumerated
- 2010-05-18
- Last updated
- 2010-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.