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BAYSIDE MEDICAL GROUP INC NPI 1689633240


NPI Information

NPI: 1689633240
Provider Name: BAYSIDE MEDICAL GROUP, INC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
5720 STONERIDGE MALL RD
SUITE 240
PLEASANTON, CA
ZIP 94588
Phone: (925) 463-1234
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BAYSIDE MEDICAL GROUP, INC is a pediatrics in Pleasanton, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BAYSIDE MEDICAL GROUP, INC NPI is 1689633240. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5720 STONERIDGE MALL RD
SUITE 240
PLEASANTON, CA
ZIP 94588-828
Phone: (925) 463-1234
Fax: (925) 463-9599

The provider's authorized official is Budd Norman Shenkin .
The authorized official title is Owner/president and has the following contact phone number (925) 587-2505.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 6/4/2010.


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
1207Q00000XFamily MedicineNo
2208000000XPediatricsYes

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
1ZZZ06346ZOTHERCALIFORNIAMEDICARE
2ZZZ06346ZMEDICARE PINCALIFORNIA

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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