Bayspine Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BAYSPINE SURGERY CENTER LLC

Practice address

3065 Richmond Pkwy Ste 100
Richmond, CA 94806-5719

Phone

(510) 243-2130

NPI assigned

Jul 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Roger W. Shortz, M.D.

Title

Ceo

Phone

(510) 243-2130

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1013116748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 RICHMOND PKWY STE 100",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065719",
            "telephone_number": "510-243-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 RICHMOND PKWY STE 100",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065719",
            "telephone_number": "510-243-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSPINE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "SHORTZ",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-243-2130",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Area Community Resources, Inc
• Bay Area Community Services, Inc
• Bay Area Patient Transport LLC
• Bay Bridge Behavior Specialists, LLC
• Baychildren'S Physicians
• Brian Beachler
• Lurinza Bean
• Tiana Beard, LMFT
• Tori A Beaudion, MD
• Jennifer Lynn Beeckman, FNP

• Ambulatory Surgical Clinic/Center in Richmond, CA
• Providers in Richmond, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.