Organization Active NPI

Bayside Urology Medical Group Inc

  • Specialist
  • Chula Vista, CA
National Provider Identifier
1164536579
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BAYSIDE UROLOGY MEDICAL GROUP INC
Practice address
450 4TH Ave
Ste 303
Chula Vista, CA 91910-4429
Phone
(619) 420-0201
Fax
(619) 425-7795
NPI assigned
Aug 19, 2006
Last updated
May 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Daniel B. Hunting, M.D.NPI 1235132556
Title
Owner
Phone
(619) 420-0201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

450 4TH Ave
Ste 303
Chula Vista, CA 91910-4429

Mailing address

450 4TH Ave
Ste 303
Chula Vista, CA 91910-4429
Phone (619) 420-0201

National Provider Directory

National Provider Directory

Locations

450 Fourth Ave
Ste 303
Chula Vista, CA 91910
Phone (619) 420-0201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1164536579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 4TH AVE",
            "address_2": "STE 303",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104429",
            "telephone_number": "619-420-0201",
            "fax_number": "619-425-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 4TH AVE",
            "address_2": "STE 303",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104429",
            "telephone_number": "619-420-0201",
            "fax_number": "619-425-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE UROLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "HUNTING",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-420-0201",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.