BAY AREA KIDNEY CARE MEDICAL GROUP INC. (NPI# 1699394460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699394460 |
| Entity Type | Organization |
| Organization Name | BAY AREA KIDNEY CARE MEDICAL GROUP INC. |
| Practice Address |
39370 Mozart Terrace Unit 106 Fremont CA 94538 |
| Practice Telephone | 7343588833 |
| Practice Fax Number | 9724283630 |
| Mailing Telephone | 7343588833 |
| Mailing Fax Number | 9724283630 |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | CYNTHIA CHYN TSUI (CEO) |
| Authorized Official Telephone | 7343588833 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1942476940 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13939 E 14t Street, Suite 170, San Leandro, CA 945789453 | 9252225666 | 9724283630 |
| Street Address |
39370 MOZART TERRACE UNIT 106 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| 1104342211 | Katalin Szabo | Student in an Organized Health Care Education/Training Program | 93465 Paseo Padre Pkwy, Ste 2100, Fremont, CA 94538 | 2017-08-21 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1225085913 | Patient First Testing | Clinic/Center | 322 W County Road T, Fremont, NE 68025-7882 | 2006-05-28 |
| 1801808159 | Heartland Ear, Nose & Throat Specialists, LLC | Clinic/Center | 1550 E 23rd St, Fremont, NE 68025-2414 | 2006-08-13 |
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| Find all providers with the same taxonomy | ||||
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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.