Bay Pediatric Development

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFC32136 Issued in CA

Legal business name

BAY PEDIATRIC DEVELOPMENT

Practice address

111 Deerwood Rd Ste 395
San Ramon, CA 94583-1530

Phone

(415) 895-0207

NPI assigned

Mar 8, 2016

Last updated

Mar 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anamercedes Yeganeh

Title

Program Director

Phone

(415) 579-2731

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1184085979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD STE 395",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831530",
            "telephone_number": "415-895-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DEERWOOD RD STE 395",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831530",
            "telephone_number": "415-895-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PEDIATRIC DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "YEGANEH",
        "authorized_official_first_name": "ANAMERCEDES",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "415-579-2731"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "MFC32136",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC32136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Area Rehab LLC
• Bay Area Surgical Specialists Inc a Medical Corporation
• Bay Care Transportation LLC
• Bay Home Health Inc
• Bay Hospice Care, Inc.
• Be Clinical Incorporated
• Kysha Beach
• Melanie Beardslee, M.S., CCC-SLP
• Kristina Beaver
• Jennifer Beavers

• Community/Behavioral Health Agency in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.