NPIMap

Organization Active NPI

Bay Area Surgical Specialists, Inc a Medical Corporation

  • Anesthesiology Physician
  • San Rafael, CA
National Provider Identifier
1609236496
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BAY AREA SURGICAL SPECIALISTS, INC A MEDICAL CORPORATION
Practice address
1050 Northgate Dr
Suite 460
San Rafael, CA 94903-2526
Phone
(925) 287-1256
Fax
(925) 287-0913
NPI assigned
Mar 7, 2016
Last updated
Jun 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Authorized official

Name
David Pittman
Title
Ceo
Phone
(925) 948-8143

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary
Pain Medicine Physician 208VP0000X NU

Addresses

Primary practice location

1050 Northgate Dr
Suite 460
San Rafael, CA 94903-2526

Mailing address

365 Lennon LN
Suite 250
Walnut Creek, CA 94598-5910
Phone (925) 627-3424

National Provider Directory

National Provider Directory
Tax ID family
Advanced Sleep Diagnostics Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

Locations

1050 Northgate Dr
Ste 460
San Rafael, CA 94903
Phone (415) 249-4244

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1609236496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LENNON LN",
            "address_2": "SUITE 250",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985910",
            "telephone_number": "925-627-3424",
            "fax_number": "925-627-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DR",
            "address_2": "SUITE 460",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032526",
            "telephone_number": "925-287-1256",
            "fax_number": "925-287-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA SURGICAL SPECIALISTS, INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-948-8143"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.