Bay Area Sports Orthopaedics, Inc

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

A87115 Issued in CA

Legal business name

BAY AREA SPORTS ORTHOPAEDICS, INC

Practice address

3300 Webster St
Suite 907
Oakland, CA 94609-3117

Phone

(510) 834-2276

Fax

(510) 834-2202

NPI assigned

Jan 28, 2007

Organization subpart

No

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

Authorized official

Name

David S Chang, M.D.NPI 1316918881

Title

President

Phone

(510) 834-2276

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Bay Area Sports Orthopaedics a Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bay Area Sports Orthopaedics, a Medical Corporation

  • Orthopaedic Surgery Physician
  • Oakland, CA
  • NPI 1235356213
  NPD tax ID

Locations

Practitioners 1

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

• David S Chang, M.D.

  • Orthopaedic Surgery Physician
  • Berkeley, CA
  • NPI 1316918881
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1598811796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 SOLANO AVE",
            "address_2": "SUITE 336",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072116",
            "telephone_number": "510-834-2276",
            "fax_number": "510-834-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "address_2": "SUITE 907",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093117",
            "telephone_number": "510-834-2276",
            "fax_number": "510-834-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA SPORTS ORTHOPAEDICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-834-2276",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A87115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Area Internal Medicine Professional Medical Corporation
• Bay Area Pediatric Pulmonary Medical Group, Inc
• Bay Area Pulmonary Medical Associates, Inc.
• Bay Area Somatics, a Licensed Clinical Social Worker Corporation
• Bay Area Sports Orthopaedics, a Medical Corporation
• Bay Elders Independence Network
• Bay Imaging Consultants Medical Group Inc
• Bay Imaging Consultants Medical Group Inc
• Bay Psychology Group Inc
• Bay Surgery Center LP

• Sports Medicine (Orthopaedic Surgery) Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.