Organization Active NPI

Bay Area Family Practice Medical Group Inc

  • Family Medicine Physician
  • Daly City, CA
National Provider Identifier
1487722617
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAY AREA FAMILY PRACTICE MEDICAL GROUP INC
Practice address
1800 Sullivan Ave RM 606
Daly City, CA 94015-2226
Phone
(650) 301-0500
Fax
(650) 994-2716
NPI assigned
Dec 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Dr. Ruth Elaine Hoddinott, MD
Title
Physician Owner President
Phone
(650) 301-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1800 Sullivan Ave RM 606
Daly City, CA 94015-2226

Mailing address

1800 Sullivan Ave RM 606
Daly City, CA 94015-2226
Phone (650) 301-0500

Other practice location 1

1850 Sullivan Ave
Suite 210
Daly City, CA 94015-2204
Phone (650) 301-0500

National Provider Directory

National Provider Directory

Locations

1800 Sullivan Ave
Rm 106
Daly City, CA 94015
Phone (650) 301-0500

1850 Sullivan Ave
Ste 106
Daly City, CA 94015

1800 Sullivan Ave
Rm 606
Daly City, CA 94015
Phone (650) 301-0500

1850 Sullivan Ave
Ste 210
Daly City, CA 94015
Phone (650) 301-0500

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1487722617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE RM 606",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152226",
            "telephone_number": "650-301-0500",
            "fax_number": "650-994-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE RM 606",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152226",
            "telephone_number": "650-301-0500",
            "fax_number": "650-994-2716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Sullivan Ave",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152204",
            "country_code": "US",
            "telephone_number": "650-301-0500",
            "fax_number": "650-994-2716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY AREA FAMILY PRACTICE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "HODDINOTT",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER PRESIDENT",
        "authorized_official_telephone_number": "650-301-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 6, 2021; 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.