Organization Active NPI

Bio-Medical Applications of California, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Brentwood, CA
National Provider Identifier
1144332941
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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

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
Mark Fawcett
Title
Treasurer
Phone
(781) 402-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.