Organization Active NPI

Bayside Urgent Care and Family Medical Clinic P C

  • Internal Medicine Physician
  • Redwood City, CA
National Provider Identifier
1659389138
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A78381 Issued in CA
Legal business name
BAYSIDE URGENT CARE AND FAMILY MEDICAL CLINIC P C
Practice address
39 Birch St Ste a
Redwood City, CA 94062
Phone
(650) 368-2888
Fax
(650) 368-2878
NPI assigned
Aug 3, 2006
Last updated
May 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Authorized official

Name
Hailing Fei, MDNPI 1861400350
Title
President
Phone
(650) 368-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A78381 CA Primary

Addresses

Primary practice location

39 Birch St Ste a
Redwood City, CA 94062

Mailing address

39 Birch St Ste a
Redwood City, CA 94062-1483
Phone (650) 368-2888

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ24112ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

39 Birch St
Ste A
Redwood City, CA 94062
Phone (650) 365-5996

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589760000000",
    "number": "1659389138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 BIRCH ST STE A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621483",
            "telephone_number": "650-368-2888",
            "fax_number": "650-368-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BIRCH ST STE A",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "650-368-2888",
            "fax_number": "650-368-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE URGENT CARE AND FAMILY MEDICAL CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "FEI",
        "authorized_official_first_name": "HAILING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-368-2888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A78381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ24112Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.