Organization Active NPI

Bay Area Endocrinology PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Mill Valley, CA
National Provider Identifier
1669293775
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
BAY AREA ENDOCRINOLOGY PC
Practice address
655 Redwood Hwy Frontage Rd Ste 102
Mill Valley, CA 94941-3046
Phone
(415) 569-4470
NPI assigned
Oct 21, 2024
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
AMER BUDAYR MD ENDOCRINOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Amer Budayr, MDNPI 1700958451
Title
Ceo
Phone
(925) 386-6001

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
Endocrinology, Diabetes & Metabolism Physician 207RE0101X Primary

Addresses

Primary practice location

655 Redwood Hwy Frontage Rd Ste 102
Mill Valley, CA 94941-3046

Mailing address

183 Moraga Way
Orinda, CA 94563-3442
Phone (415) 336-4930

National Provider Directory

National Provider Directory
Part of
Amer a Budayr MD

Locations

655 Redwood Hwy Frontage Rd
Ste 102
Mill Valley, CA 94941
Phone (415) 569-4470

Practitioners & affiliated clinicians

Practitioners 2

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": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1669293775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 MORAGA WAY",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633442",
            "telephone_number": "415-336-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 102",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413046",
            "telephone_number": "415-569-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA ENDOCRINOLOGY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMER BUDAYR MD ENDOCRINOLOGY",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "BUDAYR",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-386-6001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.