BAY AREA CARDIOVASCULAR MEDICAL GROUP NPI 1659438513

NPI Information

NPI: 1659438513
Provider Name: BAY AREA CARDIOVASCULAR MEDICAL GROUP
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
39300 CIVIC CENTER DR
#140
FREMONT, CA
ZIP 94538
Phone: (510) 791-1005
Get Directions

BAY AREA CARDIOVASCULAR MEDICAL GROUP is a vascular surgery surgery in Fremont, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. BAY AREA CARDIOVASCULAR MEDICAL GROUP NPI is 1659438513. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

39300 CIVIC CENTER DR
#140
FREMONT, CA
ZIP 94538-338
Phone: (510) 791-1005
Fax: (510) 791-2874

The provider's authorized official is John Thomas Mehigan .
The authorized official title is President and has the following contact phone number (510) 791-1005.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/22/2020.

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	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	G16196	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	ZZZ80072Z	MEDICAID	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »