North Bay Private Medicine, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH BAY PRIVATE MEDICINE, INC.

Practice address

655 Redwood Hwy Frontage Rd Ste 160
Mill Valley, CA 94941-3068

Phone

(415) 500-6220

Fax

(415) 500-6240

NPI assigned

Dec 8, 2021

Last updated

Jan 31, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebekah A Lewis, MD

Title

Physician Owner

Phone

(415) 500-6220

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1639838576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 160",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413068",
            "telephone_number": "415-500-6220",
            "fax_number": "415-500-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 160",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413068",
            "telephone_number": "415-500-6220",
            "fax_number": "415-500-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY PRIVATE MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "415-500-6220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Newlon, D.O.
• Nghia Huu Nguyen, DMD
• Thomas Nguyen
• Kristen Susann Nicita, PHARM.D.
• Mira Noble, NP
• Nancy Novack, PH.D.
• Christine O'Sullivan
• Ok LTD LLC (BrightStar Care of San Francisco and Marin)
• Janet Sara Okman, MFT
• Sara Esther Olkon, LSW

• Family Medicine Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.