Organization Active NPI

Bay Area Osteopathic, Inc.

  • Medical Specialty Clinic/Center
  • Napa, CA
National Provider Identifier
1639442486
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
BAY AREA OSTEOPATHIC, INC.
Practice address
3417 Valle Verde Dr
Napa, CA 94558-2414
Phone
(707) 255-4172
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Dr. Susan Cislo, DONPI 1639330541
Title
President
Phone
(707) 317-4070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X CA Primary

Addresses

Primary practice location

3417 Valle Verde Dr
Napa, CA 94558-2414

Mailing address

110 W American Canyon Rd
Suite L-4 PMB 142
American Canyon, CA 94503-4196
Phone (707) 317-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120628000205 CA Part B Supplier - Clinic/Group Practice 8628233491 Receives reassigned benefits from 2 practitioners
Practice locations: American Canyon, CA

National Provider Directory

National Provider Directory

Locations

3431 Napa Vallejo Hwy
Ste A2
American Cyn, CA 94503
Phone (707) 731-0921

3417 Valle Verde Dr
Napa, CA 94558
Phone (707) 226-1246

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5641/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1639442486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W AMERICAN CANYON RD",
            "address_2": "SUITE L-4 PMB 142",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945034196",
            "telephone_number": "707-317-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 VALLE VERDE DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582414",
            "telephone_number": "707-255-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA OSTEOPATHIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "CISLO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-317-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.