Bay Area Pediatric Pulmonary Medical Group, Inc

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

Legal business name

BAY AREA PEDIATRIC PULMONARY MEDICAL GROUP, INC

Practice address

747 52ND St
Suite 5409
Oakland, CA 94609-1809

Phone

(510) 428-3305

Fax

(510) 597-7154

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Karen Ann Hardy, M.D.NPI 1508971938

Title

Ceo/President

Phone

(510) 428-3885

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 5

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

• Karen Ann Hardy, MD

  • Pediatric Pulmonology Physician
  • Palo Alto, CA
  • NPI 1508971938
  NPD (past) Authorized official
• Edward Fong, M.D.

  • Pediatric Pulmonology Physician
  • Oakland, CA
  • NPI 1124133574
  NPD (past)
• Manisha Newaskar, MD

  • Pediatric Pulmonology Physician
  • Palo Alto, CA
  • NPI 1235348855
  NPD (past)
• Maria Ofreneo, M.D.

  • Pediatric Pulmonology Physician
  • Oakland, CA
  • NPI 1124133566
  NPD (past)
• Renee Benson Stromsness, M.D.

  • Pediatric Pulmonology Physician
  • Oakland, CA
  • NPI 1659534188
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1568577997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "SUITE 5409",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3305",
            "fax_number": "510-597-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "address_2": "SUITE 5409",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3305",
            "fax_number": "510-597-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PEDIATRIC PULMONARY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "510-428-3885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "ZZZ64422Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "ZZZ60449Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "ZZZ60448Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085561",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Area Diabetes and Wellness Center LLC
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• Bay Area Emdr
• Bay Area Foot Care, Inc
• Bay Area Internal Medicine Professional Medical Corporation
• Bay Area Pulmonary Medical Associates, Inc.
• Bay Area Somatics, a Licensed Clinical Social Worker Corporation
• Bay Area Sports Orthopaedics, a Medical Corporation
• Bay Area Sports Orthopaedics, Inc
• Bay Elders Independence Network

• Pediatric Pulmonology Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatric Pulmonology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.