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BAY AREA GYNECOLOGY ONCOLOGY NPI 1891801122


NPI Information

NPI: 1891801122
Provider Name: BAY AREA GYNECOLOGY ONCOLOGY

Doing Business As: BAY AREA GYNECOLOGY ONCOLOGY

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
455 OCONNOR DR STE 370
SAN JOSE, CA
ZIP 95128
Phone: (408) 827-4274
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BAY AREA GYNECOLOGY ONCOLOGY is a specialist in San Jose, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BAY AREA GYNECOLOGY ONCOLOGY NPI is 1891801122. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bay Area Gynecology Oncology.

The provider's business location address is:

455 OCONNOR DR STE 370
SAN JOSE, CA
ZIP 95128-600
Phone: (408) 827-4274
Fax: (408) 827-4275

The provider's authorized official is James Frederick Lilja .
The authorized official title is Director and has the following contact phone number (408) 827-4274.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 5/8/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistA068842CALIFORNIANo
2174400000XSpecialistG85643CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G85643OTHERCALIFORNIALICENSE DR. LILJA
200G856431MEDICAIDCALIFORNIA
300A068842MEDICAIDCALIFORNIA
4A068842OTHERCALIFORNIALICENSE DR. MANUEL

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

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