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BAY FAMILY MEDICAL GROUP INC. NPI 1982793196


NPI Information

NPI: 1982793196
Provider Name: BAY FAMILY MEDICAL GROUP, INC.

Doing Business As: BAY FAMILY MEDICAL GROUP

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D0864238

Address:
50 S SAN MATEO DR STE 230
SAN MATEO, CA
ZIP 94401
Phone: (650) 348-0454
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BAY FAMILY MEDICAL GROUP, INC. is a primary care clinic center in San Mateo, CA. BAY FAMILY MEDICAL GROUP, INC. NPI is 1982793196. The provider is registered as an organization entity type.
The provider Is Doing Business As Bay Family Medical Group.

The provider's business location address is:

50 S SAN MATEO DR STE 230
SAN MATEO, CA
ZIP 94401-842
Phone: (650) 348-0454
Fax: (650) 348-7923

The provider's authorized official is Rosie Tan-cantiga .
The authorized official title is Practice Manager and has the following contact phone number (650) 348-0454.

The CLIA number assigned to this NPI record is 05D0864238 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/12/2006 and was last updated on 2/25/2022.


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
1261QP2300XClinic/CenterPrimary CareCALIFORNIAYes

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
1ZZZ141372OTHERCALIFORNIAMICHELE LOBITZ, FNP
294-29877982OTHERCALIFORNIADR. ALEXANDER MOLDANADO

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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