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BAY AREA PEDIATRIC PULMONARY MEDICAL GROUP INC NPI 1568577997


NPI Information

NPI: 1568577997
Provider Name: BAY AREA PEDIATRIC PULMONARY MEDICAL GROUP, INC
Classification: Pediatrics - 2080P0214X
Entity Type: Organization

Specialization: Pediatric Pulmonology

Address:
747 52ND ST
SUITE 5409
OAKLAND, CA
ZIP 94609
Phone: (510) 428-3305
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BAY AREA PEDIATRIC PULMONARY MEDICAL GROUP, INC is a pediatric pulmonology pediatrics in Oakland, CA. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. BAY AREA PEDIATRIC PULMONARY MEDICAL GROUP, INC NPI is 1568577997. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

747 52ND ST
SUITE 5409
OAKLAND, CA
ZIP 94609-809
Phone: (510) 428-3305
Fax: (510) 597-7154

The provider's authorized official is Karen Ann Hardy .
The authorized official title is Ceo/president and has the following contact phone number (510) 428-3885.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 6/9/2009.


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
12080P0214XPediatricsPediatric PulmonologyCALIFORNIAYes

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
1GR0085561MEDICAIDCALIFORNIA
2ZZZ60448ZOTHERCALIFORNIABLUE SHIELD PROVIDER NUMB
3ZZZ60449ZOTHERCALIFORNIABLUE SHIELD PROVIDER NUMB
4ZZZ64422ZOTHERCALIFORNIABLUE SHIELD PROVIDER NUMB
5GR0085560MEDICAIDCALIFORNIA

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

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