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BAY VALLEY MEDICAL GROUP INC NPI 1407877269


NPI Information

NPI: 1407877269
Provider Name: BAY VALLEY MEDICAL GROUP, INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
27212 CALAROGA AVE
HAYWARD, CA
ZIP 94545
Phone: (510) 785-5000
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BAY VALLEY MEDICAL GROUP, INC is a general practice in Hayward, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BAY VALLEY MEDICAL GROUP, INC NPI is 1407877269. The provider is registered as an organization entity type.

The provider's business location address is:

27212 CALAROGA AVE
HAYWARD, CA
ZIP 94545-339
Phone: (510) 785-5000
Fax: (510) 293-5606

The provider's authorized official is Matthew Burdusis .
The authorized official title is Manager Of Information Systems and has the following contact phone number (510) 785-5000.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 4/29/2008.


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
1291U00000XClinical Medical LaboratoryNo
2106H00000XMarriage & Family TherapistNo
3207P00000XEmergency MedicineNo
4207Q00000XFamily MedicineNo
5207R00000XInternal MedicineNo
6207V00000XObstetrics & GynecologyNo
7208000000XPediatricsNo
82084P0800XPsychiatry & NeurologyPsychiatryNo
92085R0202XRadiologyDiagnostic RadiologyNo
10208600000XSurgeryNo
11208800000XUrologyNo
12213E00000XPodiatristNo
13208D00000XGeneral PracticeYes

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
1ZZZ10754ZMEDICARE ID-TYPE UNSPECIFIED
205D0599092OTHERCALIFORNIACLIA
3ZZZ81610ZOTHERCALIFORNIAMEDICAL LAB PROVIDER NUMBER
4GR0024010OTHERCALIFORNIAMEDICAL PROVIDER NUMBER

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

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.