Organization Active NPI

Alvin Zachariah MD Inc

Doing business as BlueSky Wellness Clinic

  • Family Medicine Physician
  • Daly City, CA
National Provider Identifier
1629897830
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALVIN ZACHARIAH MD INC
Doing business as
BlueSky Wellness Clinic
Practice address
904 Campus Drive
Suite 204
Daly City, CA 94015-4903
Phone
(650) 226-8002
NPI assigned
Oct 4, 2024
Last updated
Oct 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Harminder Bajaj
Title
Owner
Phone
(650) 226-8002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

904 Campus Drive
Suite 204
Daly City, CA 94015-4903

Mailing address

904 Campus Drive
Suite 204
Daly City, CA 94015
Phone (650) 226-8002

Other names 1

  • BlueSky Wellness Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1629897830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CAMPUS DRIVE",
            "address_2": "SUITE 204",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "94015",
            "telephone_number": "650-226-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CAMPUS DRIVE",
            "address_2": "SUITE 204",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154903",
            "telephone_number": "650-226-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN ZACHARIAH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "BAJAJ",
        "authorized_official_first_name": "HARMINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-226-8002"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BlueSky Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.