BAY VALLEY MEDICAL GROUP, INC. (NPI# 1497760870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497760870 |
| Entity Type | Organization |
| Organization Name | BAY VALLEY MEDICAL GROUP, INC. |
| Practice Address |
20126 Stanton Ave Ste 201 Castro Valley CA 94546-5271 |
| Mailing Address |
27212 Calaroga Ave Hayward CA 94545-4339 |
| Practice Telephone | 5105812559 |
| Mailing Telephone | 5107855000 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | MATTHEW BURDUSIS (MANAGER OF INFORMATION SYSTEMS) |
| Authorized Official Telephone | 5102665401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLIA | 05D1079934 | 01 |
| CA | CLIA | 05D0695762 | 01 |
| CA | MEDI-CAL | GR0024011 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1194759365 | Bay Valley Medical Group, Inc. | Marriage & Family Therapist | 27212 Calaroga Ave, Hayward, CA 94545-4339 | 2006-07-11 |
| Street Address |
20126 STANTON AVE STE 201 |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-5271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467437541 | Kenneth E Smith | Audiologist | 20126 Stanton Ave, Suite 205, Castro Valley, CA 94546-5271 | 2005-12-12 |
| 1740322098 | The Hearing Center of Castro Valley | Audiologist-Hearing Aid Fitter | 20126 Stanton Ave, Suite 205, Castro Valley, CA 94546-5271 | 2007-02-13 |
| 1437194677 | Cardiovascular Consultants Medical Group, Inc. | Internal Medicine | 20126 Stanton Ave, #100, Castro Valley, CA 94546-5271 | 2006-06-19 |
| 1528003399 | John E Nackley | Pediatrics | 20126 Stanton Ave, Ste 201, Castro Valley, CA 94546-5271 | 2006-06-17 |
| 1508821505 | Zev M. Kahn, M.d, P.C. | Otolaryngology | 20126 Stanton Ave, 203, Castro Valley, CA 94546-5271 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518209311 | Sinnakaman S Rajaram | Pediatrics | 3845 Denise Ln, Denise Lane, Castro Valley, CA 94546-1208 | 2013-03-20 |
| 1861631442 | Yunji Lee | Pediatrics | 20400 Lake Chabot Rd Ste 304, Castro Valley, CA 94546-5316 | 2009-02-05 |
| 1922101963 | Ken Ducker | Pediatrics | 20126 Stanton Ave Ste 200, Castro Valley, CA 94546-5270 | 2006-09-06 |
| 1770526261 | Donald Martin Selcer | Pediatrics | 20101b Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2006-06-13 |
| 1720037633 | Benedikt Kurz | Pediatrics | 20101 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2006-05-08 |
| 1124480157 | Faruqa Shariff Ladha | Pediatrics | 20103 Lake Chabot Rd, Eden Medical Center, Castro Valley, CA 94546-5305 | 2016-03-29 |
| 1144653809 | Yolanda Chuck-yan Lau | Pediatrics | 20101 Lake Chabot Rd Fl 3, Castro Valley, CA 94546-5305 | 2013-08-16 |
| 1295991800 | Olivia Pan | Pediatrics | 20101 Lake Chabot Rd Fl 3, Castro Valley, CA 94546-5305 | 2008-08-03 |
| 1386658730 | Eric Donald Wells | Pediatrics | 20055 Lake Chabot Rd, #320, Castro Valley, CA 94546 | 2006-07-28 |
| 1528003399 | John E Nackley | Pediatrics | 20126 Stanton Ave, Ste 201, Castro Valley, CA 94546-5271 | 2006-06-17 |
| Find all providers in CASTRO VALLEY | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
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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.