Bay Area Ear, Nose, and Throat Medical Group

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G33407 Issued in CA

Legal business name

BAY AREA EAR, NOSE, AND THROAT MEDICAL GROUP

Practice address

13847 E 14TH St
#200
San Leandro, CA 94578-2632

Phone

(510) 352-5470

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald L. Rubenstein, M. D.NPI 1467568105

Title

M. D. /Owner

Phone

(510) 352-5470

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald L. Rubenstein, M. D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • San Leandro, CA
  • NPI 1467568105
  Medicare reassignment Care Compare group NPD Authorized official
• Robert K Wu, M. D.

  • Otolaryngology Physician
  • San Leandro, CA
  • NPI 1669574059
  Medicare reassignment Care Compare group NPD
• Janine Keiko Kaku, NP

  • Acute Care Nurse Practitioner
  • Castro Valley, CA
  • NPI 1831526466
  Medicare reassignment NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1558477273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST",
            "address_2": "#200",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782632",
            "telephone_number": "510-352-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST",
            "address_2": "#200",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782632",
            "telephone_number": "510-352-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA EAR, NOSE, AND THROAT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "M. D. /OWNER",
        "authorized_official_telephone_number": "510-352-5470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G33407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G334070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Bautista, RN, PHN, BSN
• Jhoanne Bautista, M.D. PH.D.
• Kimberly Yessenia Bautista
• Tiffany Sarah Bautista
• Bay Area Behavioral Health LLC
• Bay Area Foot and Ankle Care Inc
• Bay Area Foot Care, Inc
• Bay Area Ophthalmic Medical Corporation
• Bay Area Pain Consultants, Inc.
• Bay Area Psychological Services Inc.

• Otolaryngology Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.