Central Bay Healthcare Services Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

CH 100-883052 Issued in CA

Legal business name

CENTRAL BAY HEALTHCARE SERVICES INC.

Practice address

400 29TH St
Suite 100
Oakland, CA 94609-3522

Phone

(510) 834-4100

Fax

(510) 834-4757

NPI assigned

Aug 9, 2007

Last updated

Mar 31, 2010By 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

Mrs. Angelina Marie Cautiverio

Title

Owner/Office Operation Manager

Phone

(510) 834-4100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1225220676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 29TH ST",
            "address_2": "SUITE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093522",
            "telephone_number": "510-834-4100",
            "fax_number": "510-834-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 29TH ST",
            "address_2": "SUITE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093522",
            "telephone_number": "510-834-4100",
            "fax_number": "510-834-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL BAY HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "CAUTIVERIO",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OFFICE OPERATION MANAGER",
        "authorized_official_telephone_number": "510-834-4100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "CH 100-883052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.