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SOUTH BAY BARIATRICS MEDICAL CORPORATION PC NPI 1760710396


NPI Information

NPI: 1760710396
Provider Name: SOUTH BAY BARIATRICS MEDICAL CORPORATION PC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 05D0608050

Address:
2505 SAMARITAN DR
SUITE 600
SAN JOSE, CA
ZIP 95124
Phone: (408) 402-9911
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SOUTH BAY BARIATRICS MEDICAL CORPORATION PC is a surgery in San Jose, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SOUTH BAY BARIATRICS MEDICAL CORPORATION PC NPI is 1760710396. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2505 SAMARITAN DR
SUITE 600
SAN JOSE, CA
ZIP 95124-006
Phone: (408) 402-9911
Fax: (408) 402-9901

The provider's authorized official is Robert V Mckeen .
The authorized official title is Owner and has the following contact phone number (408) 402-9911.

The CLIA number assigned to this NPI record is 05D0608050 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/19/2009 and was last updated on 2/8/2010.


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
1208600000XSurgeryC51274CALIFORNIAYes

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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