BG Medical, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BG MEDICAL, INC

Practice address

239 Main St Ste B
Pleasanton, CA 94566-8220

Phone

(415) 847-7147

NPI assigned

Oct 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Robert Leslie Baker, PT, PHD, MBA, OCSNPI 1396779443

Title

President

Phone

(415) 847-7147

Specialties & licenses 1

Addresses

Other names 1

• Challenger Sports Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• BG Medical, Inc

  • Physical Therapy Clinic/Center
  • Pleasanton, CA
  • NPI 1174598098

  O20040430001029

  Same enrollment

Locations

Practitioners 3

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

• Robert Leslie Baker, P.T.

  • Physical Therapist
  • Pleasanton, CA
  • NPI 1396779443
  Medicare reassignment Authorized official
• Laura Beatrice Cabrera, P.T. C.O.M.T.

  • Physical Therapist
  • Sunnyvale, CA
  • NPI 1366524498
  NPD (past)
• Mahsa Modarres Sabzevari, MSPT

  • Orthopedic Physical Therapist
  • Walnut Creek, CA
  • NPI 1689784944
  NPD (past)

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1144945544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROBERT BAKER",
            "address_2": "1137 ESSEX ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945505538",
            "telephone_number": "415-847-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MAIN ST STE B",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668220",
            "telephone_number": "415-847-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BG MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-847-7147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, PHD, MBA, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Challenger Sports Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia Bertolotti, BCBA
• Matthew M Bessiere
• Best Living Home Care LLC
• Bettina Zatuchni MD a Professional Corporation
• Brooke Betts
• BG Medical, Inc
• Dipti Bhakta, MD
• Paulomi Kadakia Bhalla, M.D.
• Anusuya Krishnan Bharadwaj, D.M.D.
• Vijay Bhat, M.D.

• Physical Therapist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.