BAY VALLEY MEDICAL GROUP, INC. (NPI# 1194759365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194759365 |
| Entity Type | Organization |
| Organization Name | BAY VALLEY MEDICAL GROUP, INC. |
| Practice Address |
27212 Calaroga Ave Hayward CA 94545-4339 |
| Practice Telephone | 5107855000 |
| Practice Fax Number | 5102935606 |
| Mailing Telephone | 5107855000 |
| Mailing Fax Number | 5102935606 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MATTHEW BURDUSIS (MANAGER OF INFORMATION SYSTEMS) |
| Authorized Official Telephone | 5107855000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| X | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| X | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| X | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| X | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| X | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| X | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497760870 | Bay Valley Medical Group, Inc. | Obstetrics & Gynecology | 20126 Stanton Ave, Ste 201, Castro Valley, CA 94546-5271 | 2006-07-31 |
| 1649293879 | Bay Valley Medical Group, Inc. | Family Medicine | 4725 First St, Pleasanton, CA 94566 | 2006-07-26 |
| 1881611507 | Bay Valley Medical Group, Inc. | Emergency Medicine | 319 Diablo Rd, Danville, CA 94526-3428 | 2006-07-17 |
| 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 |
| 1124260062 | Bay Valley Medical Group | Podiatrist | 27212 Calaroga Ave, Hayward, CA 94545-4339 | 2009-03-24 |
| 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 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396115846 | Dahlia Case | Marriage & Family Therapist | 622 Staley Ave, Hayward, CA 94541-6287 | 2015-09-27 |
| 1073980892 | Anita Malvina Hegedus | Marriage & Family Therapist | 164 Laurel Ave, Hayward, CA 94541-3821 | 2015-08-27 |
| 1467869149 | Pamela Gilmore | Marriage & Family Therapist | 224 Sullivan Way, Hayward, CA 94541-4384 | 2014-07-15 |
| 1871930156 | Denise Perez Patterson | Marriage & Family Therapist | 300 W Winton Ave, Hayward, CA 94544-1137 | 2013-05-28 |
| 1437434081 | Marta Vanessa Guandique | Marriage & Family Therapist | 360 Westchester St, Hayward, CA 94544-8065 | 2011-10-14 |
| 1619265014 | Brigitte Merrell | Marriage & Family Therapist | 22971 Sutro St., Hayward, CA 94541 | 2011-07-19 |
| 1689803009 | Gabrielle Pickard | Marriage & Family Therapist | 20094 Mission Blvd., Hayward, CA 94541 | 2009-07-07 |
| 1629212634 | Joy Wong Liu | Marriage & Family Therapist | 25400 Hesperian Blvd, Hayward, CA 94545-2464 | 2009-04-22 |
| 1164691572 | Frederick C. Burrows | Marriage & Family Therapist | 2539 Hermosa Ter, Hayward, CA 94541-3309 | 2008-02-29 |
| 1427240027 | Heloisa Santos Wade | Marriage & Family Therapist | 3045 Kelly St, Hayward, CA 94541 | 2007-08-16 |
| 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.