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NORTH BAY PEDIATRICS NPI 1932132297


NPI Information

NPI: 1932132297
Provider Name: NORTH BAY PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0601225

Address:
160 GLEN COVE MARINA RD #103
VALLEJO, CA
ZIP 94591
Phone: (707) 648-0711
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NORTH BAY PEDIATRICS is a pediatrics in Vallejo, 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. NORTH BAY PEDIATRICS NPI is 1932132297. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

160 GLEN COVE MARINA RD #103
VALLEJO, CA
ZIP 94591
Phone: (707) 648-0711
Fax: (707) 648-1306

The provider's authorized official is Amy Jadkowski .
The authorized official title is Practice Manager and has the following contact phone number (707) 648-0711.

The CLIA number assigned to this NPI record is 05D0601225 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 12/26/2023.


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
1208000000XPediatricsYes

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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