OrganizationActive
Medical Group at City Center, Inc.
NPI 1881716124 · Pediatric Orthopaedic Surgery Physician · Alameda, CA
Provider details
- NPI number
- 1881716124
- Entity type
- Organization
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fred Blackwell, President(510) 748-0940
- License
- G15873 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2100 Otis Dr
Alameda, CA 94501-5786
Phone: (510) 748-0940
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Sherman St
Alameda, CA 94501-2236
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.