Organization Active NPI

Bay Area Cardiology Medical Group

  • Interventional Cardiology Physician
  • Livermore, CA
National Provider Identifier
1114900396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
BAY AREA CARDIOLOGY MEDICAL GROUP
Practice address
1133 E Stanley Blvd
Suite 207
Livermore, CA 94550-4200
Phone
(925) 294-9037
Fax
(925) 294-9272
NPI assigned
Nov 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ayman A Hosny, M.D.
Title
Partner
Phone
(925) 294-9037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X CA Primary

Addresses

Primary practice location

1133 E Stanley Blvd
Suite 207
Livermore, CA 94550-4200

Mailing address

1133 E Stanley Blvd
Suite 207
Livermore, CA 94550-4200
Phone (925) 294-9037

Other identifiers 1

IdentifierTypeStateIssuer
GR0040841MedicaidCA

National Provider Directory

National Provider Directory

Locations

2485 High School Ave
Ste 103
Concord, CA 94520
Phone (925) 233-4480

1133 E Stanley Blvd
Ste 207
Livermore, CA 94550
Phone (925) 245-1238

5565 W Las Positas Blvd
Ste 250
Pleasanton, CA 94588
Phone (925) 685-7598

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114900396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD",
            "address_2": "SUITE 207",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504200",
            "telephone_number": "925-294-9037",
            "fax_number": "925-294-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD",
            "address_2": "SUITE 207",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504200",
            "telephone_number": "925-294-9037",
            "fax_number": "925-294-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA CARDIOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOSNY",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-294-9037",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0040841",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.