North Bay Medical Associates, P.a.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

ME26369 Issued in FL

Legal business name

NORTH BAY MEDICAL ASSOCIATES, P.A.

Practice address

940 NE 79TH St
Miami, FL 33138-4716

Phone

(305) 672-7635

Fax

(305) 672-6201

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Rafael A Soto, MD

Title

President

Phone

(305) 672-7635

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Scott Peterson, DPM

  • Podiatrist
  • Miami, FL
  • NPI 1871525170
  NPD (past)

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1083961486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 NE 79TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331384716",
            "telephone_number": "305-672-7635",
            "fax_number": "305-672-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 NE 79TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331384716",
            "telephone_number": "305-672-7635",
            "fax_number": "305-672-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-672-7635",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME26369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215948674",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audie Norr
• Anastasia Nani Norris-Bryan
• Nicholas Bernard Norris, MSC
• Waldo C Norstad
• North American Medical Group LLC
• North Bay Podiatric Associates, P.a.
• North Beach Dialysis Center, LLC
• North Gables Foot Clinic
• North Gables Foot Clinic
• North Gables Foot Clinic Inc

• Geriatric Medicine (Family Medicine) Physician in Miami, FL
• Providers in Miami, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.