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BAY AREA UROLOGY MEDICAL GROUP NPI 1629154497


NPI Information

NPI: 1629154497
Provider Name: BAY AREA UROLOGY MEDICAL GROUP
Classification: Urology - 208800000X
Entity Type: Organization
Address:
101 SO SAN MATEO DR
SUITE 205
SAN MATEO, CA
ZIP 94401
Phone: (650) 348-7770
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BAY AREA UROLOGY MEDICAL GROUP is an urology in San Mateo, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. BAY AREA UROLOGY MEDICAL GROUP NPI is 1629154497. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 SO SAN MATEO DR
SUITE 205
SAN MATEO, CA
ZIP 94401
Phone: (650) 348-7770
Fax: (650) 348-0166

The provider's authorized official is David Jay Card .
The authorized official title is President and has the following contact phone number (650) 348-7770.

The enumeration date for this NPI number is 10/27/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyCALIFORNIAYes

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
1GR002886MEDICAIDCALIFORNIA

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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