DR. OLUWASEYI SEGUN BALASIRE M.D. NPI 1003235243

NPI Information

NPI: 1003235243
Provider Name: DR. OLUWASEYI SEGUN BALASIRE, M.D.
Classification: Hospitalist - 208M00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
20103 LAKE CHABOT RD
CASTRO VALLEY, CA
ZIP 94546
Phone: (510) 727-3256
Get Directions

DR. Oluwaseyi Segun Balasire, M.D. is a hospitalist in Castro Valley, CA. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. DR. Oluwaseyi Segun Balasire, M.D. NPI is 1003235243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

20103 LAKE CHABOT RD
CASTRO VALLEY, CA
ZIP 94546-305
Phone: (510) 727-3256
Fax: (510) 727-3107

The NPI 1003235243 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/15/2014 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	1118626	CALIFORNIA	No
2	207R00000X	Internal Medicine	56261	TENNESSEE	No
3	208M00000X	Hospitalist	A152926	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1118626	OTHER	CALIFORNIA	AMERICAN BOARD OF INTERNAL MEDICINE
2	A152926	OTHER	CALIFORNIA	STATE MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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