BAY VALLEY MEDICAL GROUP (NPI# 1124260062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124260062 |
| Entity Type | Organization |
| Organization Name | BAY VALLEY MEDICAL GROUP |
| Practice Address |
27212 Calaroga Ave Hayward CA 94545-4339 |
| Practice Telephone | 5107855000 |
| Mailing Telephone | 5107855000 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |
| Authorized Official Name | MATTHEW J BURDUSIS (MANAGER OF INFORMATION SYSTEMS) |
| Authorized Official Telephone | 5107855000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL PROVIDER NUMBER | GRE00330 | 01 |
| Street Address |
27212 CALAROGA AVE |
| City | HAYWARD |
| State | CA |
| Zip Code | 94545-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275578015 | Kaarel T. Kaljot | Internal Medicine | 27212 Calaroga Ave, Hayward, CA 94545-4339 | 2006-06-17 |
| 1275913089 | Jade Bito-onon | Family Medicine | 27212 Calaroga Ave, Hayward, CA 94545-4339 | 2015-06-06 |
| 1669715983 | Stacy Young | Obstetrics & Gynecology | 27212 Calaroga Ave, Hayward, CA 94545 | 2013-04-04 |
| 1104185537 | Patricia J. Freshwater | Registered Nurse | 27212 Calaroga Ave, Hayward, CA 94545-4339 | 2012-05-04 |
| 1528326881 | Natalie Brooksher | Registered Nurse | 27212 Calaroga Ave, Bay Valley Medical Group, Hayward, CA 94545-4339 | 2012-04-24 |
| 1285807495 | Setareh Hafezi | Obstetrics & Gynecology | 27212 Calaroga Ave, Hayward, CA 94545-4339 | 2008-04-09 |
| 1306024815 | Rama D. Polisetty | Obstetrics & Gynecology | 27212 Calaroga Ave, Hayward, CA 94545-4339 | 2008-02-06 |
| 1205913787 | James Bateman | Pharmacist | 27212 Calaroga Ave, Hayward, CA 94545-4339 | 2006-11-01 |
| 1790863280 | Shamsi M. Vatannia | Obstetrics & Gynecology | 27212 Calaroga Ave, Hayward, CA 94545-4339 | 2006-11-01 |
| 1285731026 | Mullen Pharmacy Inc | Pharmacy | 27212 Calaroga Ave, Hayward, CA 94545-4339 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295394476 | Lily Yu | Pharmacist | 3160 Corporate Place, Hayward, CA 94545 | 2019-06-11 |
| 1093285660 | Ana Alvarez | Behavior Technician | 24301 Southland Dr. Ste 410, Hayward, CA 94545 | 2018-11-27 |
| 1992201958 | Jasramin Dillon Chatha | Licensed Vocational Nurse | 23648 Saklan Road, Hayward, CA 94545 | 2018-03-30 |
| 1760985105 | Monika Milda Barta | Student in an Organized Health Care Education/Training Program | 24333 Southland Dr, Hayward, CA 94545 | 2018-03-12 |
| 1003329210 | Brian Anh Lu | Pharmacist | 3121 Diablo Avenue, Hayward, CA 94545 | 2017-11-09 |
| 1528415957 | Aic Health Care, Inc. | Intermediate Care Facility, Mentally Retarded | 27489 Portsmouth Ave, Hayward, CA 94545 | 2016-05-16 |
| 1568889723 | Jenny Tran | Nurse Practitioner | 24700 Calaroga Avenue, Suite 103, Hayward, CA 94545 | 2014-03-26 |
| 1306261573 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 1976 Elder Way, Hayward, CA 94545 | 2014-02-25 |
| 1699110130 | Seneca Family of Agencies | Community/Behavioral Health | 26601 Calaroga Ave, Hayward, CA 94545 | 2013-05-09 |
| 1235401530 | Onlyserve, Inc. | Home Health | 3423 Investment Boulevard #1, Hayward, CA 94545 | 2012-02-01 |
| Find all providers in zip 94545 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083762959 | Hayward Foot & Ankle Center | Podiatrist | 1191 W. Tennyson Rd. Ste 3, Hayward, CA 94544 | 2007-01-08 |
| 1346278959 | Comprehensive Foot & Ankle, Sc | Podiatrist | 11128n State Highway 27/77, Northwoods Speciality Clinic, Hayward, WI 54843-5332 | 2006-06-30 |
| 1265753990 | Inderjeet Bhamra | Podiatrist | 22331 Mission Blvd, Hayward, CA 94541-3911 | 2010-06-16 |
| 1881803047 | Michael Paul Brooks | Podiatrist | 19682 Hesperian Blvd Ste 101a, Hayward, CA 94541-4752 | 2007-05-22 |
| 1720136021 | Hayward Foot and Ankle | Podiatrist | 1191 W Tennyson Rd, No 3, Hayward, CA 94544-4454 | 2007-01-05 |
| 1588742340 | Barry L. Scurran | Podiatrist | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2006-11-01 |
| 1255419016 | Jeffrey M. Karlin | Podiatrist | 27400 Hesperian Blvd, Hayward, CA 94545-4235 | 2006-11-01 |
| 1952332553 | Tanya M. Barton | Podiatrist | 11128 N State Road 77, Hayward, WI 54843-5332 | 2006-07-05 |
| 1932138427 | Ronald A Hull | Podiatrist | 27212 Calaroga Ave, Hayward, CA 94545-4339 | 2006-06-30 |
| 1518964360 | Alison Jo Cook | Podiatrist | 21297 Foothill Blvd, 202, Hayward, CA 94541-1554 | 2005-07-07 |
| Find all providers in HAYWARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.