NPIMap

Organization Active NPI

Bay Area Cardiovascular Medical Group

  • Vascular Surgery Physician
  • Fremont, CA
National Provider Identifier
1659438513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G16196 Issued in CA
Legal business name
BAY AREA CARDIOVASCULAR MEDICAL GROUP
Practice address
39300 Civic Center Dr
#140
Fremont, CA 94538-2338
Phone
(510) 791-1005
Fax
(510) 791-2874
NPI assigned
Jan 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Thomas Mehigan, M.D.NPI 1952477200
Title
President
Phone
(510) 791-1005

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
Vascular Surgery Physician 2086S0129X G16196 CA Primary

Addresses

Primary practice location

39300 Civic Center Dr
#140
Fremont, CA 94538-2338

Mailing address

39300 Civic Center Dr
#140
Fremont, CA 94538-2338
Phone (510) 791-1005

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ80072ZMedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659438513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39300 CIVIC CENTER DR",
            "address_2": "#140",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382338",
            "telephone_number": "510-791-1005",
            "fax_number": "510-791-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39300 CIVIC CENTER DR",
            "address_2": "#140",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382338",
            "telephone_number": "510-791-1005",
            "fax_number": "510-791-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA CARDIOVASCULAR MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHIGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-791-1005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G16196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ80072Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • 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.