BAY VALLEY MEDICAL GROUP, INC. (NPI# 1881611507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881611507 |
| Entity Type | Organization |
| Organization Name | BAY VALLEY MEDICAL GROUP, INC. |
| Practice Address |
319 Diablo Rd Danville CA 94526-3428 |
| Mailing Address |
27212 Calaroga Ave Hayward CA 94545-4339 |
| Practice Telephone | 9253140260 |
| Practice Fax Number | 9258312564 |
| Mailing Telephone | 5102665401 |
| Mailing Fax Number | 5102935606 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| 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 |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| X | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| X | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| 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 |
| 1194759365 | Bay Valley Medical Group, Inc. | Marriage & Family Therapist | 27212 Calaroga Ave, Hayward, CA 94545-4339 | 2006-07-11 |
| Street Address |
319 DIABLO RD |
| City | DANVILLE |
| State | CA |
| Zip Code | 94526-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972548741 | Viktor Novikov | Family Medicine | 319 Diablo Rd, Ste 105, Danville, CA 94526-3428 | 2006-06-17 |
| 1487678520 | Renu G Kulkarni | Family Medicine | 319 Diablo Rd, Ste. 105, Danville, CA 94526-3428 | 2006-07-26 |
| 1134156953 | Juliana C Wong | Family Medicine | 319 Diablo Rd, Ste 105, Danville, CA 94526-3428 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1821585415 | Cynthia N Atchoukeu | Behavior Technician | 811 San Ramon Valley Suite 100, Danville, CA 94526 | 2018-04-18 |
| 1649708850 | Michelle Nicole Kolander | Specialist/Technologist | 209 Rutherford Dr, Danville, CA 94526 | 2017-06-01 |
| 1396155594 | Laurie Elizabeth Wallis | Registered Nurse | 145 Town & Country Blvd., Suite 106, Danville, CA 94526 | 2014-04-28 |
| 1437585486 | Brielle Shipman | Chiropractor | 391 Diablo Rd, Ste B, Danville, CA 94526 | 2013-09-23 |
| 1841626298 | Gloria Lynn Kopp | Nurse Practitioner | 309 Windstream Place, Danville, CA 94526 | 2013-09-17 |
| 1023378635 | Vision Dynamics Optometric Center | Optometrist | 417 Sycamore Valley Road West, Danville, CA 94526 | 2012-05-17 |
| 1346517620 | Adam Wallach,m.d. A Professional Corporation | Specialist | 400 El Cerro Blvd., Ste. 204, Danville, CA 94526 | 2011-11-30 |
| 1184949661 | Judianne Marguriette Walker | Podiatrist | 1320 El Capitan Ste 410, Danville, CA 94526 | 2010-03-29 |
| 1619108685 | Brandon Riggins | Counselor | 115 Town and Country Dr., Danville, CA 94526 | 2009-08-07 |
| Find all providers in zip 94526 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620768 | Rachel L Arnold | Emergency Medicine | 702 N Maple Ave, Danville, KY 40422-1147 | 2019-10-10 |
| 1205340825 | Northern California Emergency Medicine Group | Emergency Medicine | 167 Oakridge Dr, Danville, CA 94506-3106 | 2017-11-17 |
| 1679960108 | Bo Zhu | Emergency Medicine | Geisinger Medical Ctr 100 North Academy Avenue, Danville, PA 17822-0001 | 2015-04-22 |
| 1225430648 | Go Docs LLC | Emergency Medicine | 949 Piney Forest Road, Danville, VA 24540-1593 | 2014-09-17 |
| 1902153711 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 133 Enterprise Dr, Danville, VA 24540-4071 | 2012-08-10 |
| 1518196278 | Kevin M Finnerty | Emergency Medicine | Geisinger Medical Center 100 North Academy Ave, Danville, PA 17822-0001 | 2009-07-02 |
| 1932241528 | Benjamin Moss | Emergency Medicine | 1522 Webster Rd, Danville, KY 40422-9063 | 2007-02-12 |
| 1265449672 | Mary Elizabeth Hermann | Emergency Medicine | 450 Columbia Hill Rd, Danville, PA 17821-9310 | 2006-08-01 |
| 1225064132 | Ramon Joson Gomez | Emergency Medicine | Danville Regional Medical Center, 142 S. Main Street, Danville, VA 24541 | 2006-06-23 |
| 1275510174 | Anne Li | Emergency Medicine | Credentialling Office, 1900 E Main St, Danville, IL 61832-1000 | 2005-12-30 |
| Find all providers in DANVILLE | ||||
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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.