NORTHBAY HEALTHCARE GROUP NPI 1003015843

NPI Information

  • NPI: 1003015843
  • Provider Name: NORTHBAY HEALTHCARE GROUP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • CLIA Number: 05D0614782
  • Address: 1006 NUT TREE ROAD
    VACAVILLE, CA
    ZIP 95687
  • Phone: (707) 446-2800

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NPI Details

NORTHBAY HEALTHCARE GROUP is an ambulatory surgical clinic center in Vacaville, CA. NORTHBAY HEALTHCARE GROUP NPI is 1003015843. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1006 NUT TREE ROAD
VACAVILLE, CA
ZIP 95687
Phone: (707) 446-2800
Fax: (707) 426-9700

The provider's authorized official is Jaye Lynn Bonham .
The authorized official title is Avp, Managed Care and has the following contact phone number (707) 646-3289.

The CLIA number assigned to this NPI record is 05D0614782 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Balloon dilation of vein with review by radiologist, initial vein (HCPCS:37248)
  • Destruction of nerves supplying joint between spine and pelvis using imaging guidance (HCPCS:64625)

The enumeration date for this NPI number is 7/12/2007 and was last updated on 7/28/2025.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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