NPIMap

Organization Active NPI

Baychildren'S Physicians

  • Pediatrics Physician
  • Berkeley, CA
National Provider Identifier
1104357359
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
BAYCHILDREN'S PHYSICIANS
Practice address
3000 Colby St Ste 301
Berkeley, CA 94705-2058
Phone
(510) 486-8344
NPI assigned
Mar 21, 2017
Organization subpart
Yes
Parent organization
BAYCHILDREN'S PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Julie Hallgren
Title
Assoc Director Revenue Cycle
Phone
(415) 476-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3000 Colby St Ste 301
Berkeley, CA 94705-2058

Mailing address

6475 Christie Ave
Suite 300
Emeryville, CA 94608-1095

Other practice location 1

5700 Telegraph Ave
Suite 100
Oakland, CA 94609-1710
Phone (510) 486-8344

National Provider Directory

National Provider Directory
Tax ID family
Baychildrens Physicians14 organizations share this tax ID, including this one
Part of
Baychildrens Physicians

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1104357359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 CHRISTIE AVE",
            "address_2": "SUITE 300",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 COLBY ST STE 301",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052058",
            "telephone_number": "510-486-8344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5700 Telegraph Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946091710",
            "country_code": "US",
            "telephone_number": "510-486-8344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYCHILDREN'S PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYCHILDREN'S PHYSICIANS",
        "enumeration_date": "2017-03-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HALLGREN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "ASSOC DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "415-476-4404"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.