Bay Area Urology Medical Group

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BAY AREA UROLOGY MEDICAL GROUP

Practice address

101 So San Mateo Dr
Suite 205
San Mateo, CA 94401

Phone

(650) 348-7770

Fax

(650) 348-0166

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

David Jay Card, MD

Title

President

Phone

(650) 348-7770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629154497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SO SAN MATEO DR",
            "address_2": "SUITE 205",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-348-7770",
            "fax_number": "650-348-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SO SAN MATEO DR",
            "address_2": "SUITE 205",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-348-7770",
            "fax_number": "650-348-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA UROLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-348-7770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR002886",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joselyn Natividad Bautista Zamudio, MSW
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• Bay Life Acupuncture Inc

• Urology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.