Active NPI
Bio-Medical Applications of California, Inc.
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Brentwood, CA
National Provider Identifier
1144332941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.
- Practice address
- 4510 Ohara Ave Ste B
Brentwood, CA 94513-2256 - Phone
- (925) 513-7135
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Fawcett
- Title
- Treasurer
- Phone
- (781) 402-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
4510 Ohara Ave Ste B
Brentwood, CA 94513-2256
Mailing address
4510 Ohara Ave Ste B
Brentwood, CA 94513-2256
Other names 1
- FRESENIUS MEDICAL SERVICES OF BRENTWOOD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030624000010 | CA | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 1153238894 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Petaluma, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Petaluma, CA
- NPI 1396857199
O20030624000010
National Provider Directory
National Provider DirectoryLocations
4510 Ohara Ave
Ste B
Brentwood, CA 94513
Phone (925) 513-7135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144332941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 OHARA AVE STE B",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 OHARA AVE STE B",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132256",
"telephone_number": "925-513-7135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIO-MEDICAL APPLICATIONS OF CALIFORNIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FAWCETT",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "781-402-9000"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FRESENIUS MEDICAL SERVICES OF BRENTWOOD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brentwood, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.