NPIMap

Organization Active NPI

Golden Bay Health, Inc.

Doing business as Golden Bay Health Plan

  • Internal Medicine Physician
  • Daly City, CA
National Provider Identifier
1437872496
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GOLDEN BAY HEALTH, INC.
Doing business as
Golden Bay Health Plan
Golden Bay Health Plan, Inc.
Practice address
2171 Junipero Serra Blvd Ste 700
Daly City, CA 94014-1982
Phone
(415) 391-9686
NPI assigned
Sep 23, 2022
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Eddie Chan, PHARMD
Title
Chief Executive Officer
Phone
(415) 352-5005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

2171 Junipero Serra Blvd Ste 700
Daly City, CA 94014-1982

Mailing address

2171 Junipero Serra Blvd Ste 700
Daly City, CA 94014-1982

Other names 2

  • Golden Bay Health Plan Doing business as
  • Golden Bay Health Plan, Inc. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1437872496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 JUNIPERO SERRA BLVD STE 700",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JUNIPERO SERRA BLVD STE 700",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141982",
            "telephone_number": "415-391-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN BAY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-352-5005",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Bay Health Plan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Bay Health Plan, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.