Organization Active NPI

Bay Pioneers, LLC

  • Home Health Agency
  • San Mateo, CA
National Provider Identifier
1679970024
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BAY PIONEERS, LLC
Practice address
1700 S Amphlett Blvd Ste 200
San Mateo, CA 94402-2717
Phone
(650) 685-6558
NPI assigned
Dec 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Authorized official

Name
John CannonNPI 1992102347
Title
President
Phone
(650) 685-6558

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1700 S Amphlett Blvd Ste 200
San Mateo, CA 94402-2717

Mailing address

1700 S Amphlett Blvd Ste 200
San Mateo, CA 94402-2717
Phone (650) 685-6558

Other names 1

  • BrightStar Care of San Mateo Doing business as

National Provider Directory

National Provider Directory

Locations

1700 S Amphlett Blvd
Ste 200
San Mateo, CA 94402
Phone (650) 507-3193

Practitioners & affiliated clinicians

Practitioners 1

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": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1679970024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S AMPHLETT BLVD STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022717",
            "telephone_number": "650-685-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S AMPHLETT BLVD STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022717",
            "telephone_number": "650-685-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PIONEERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-685-6558"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care of San Mateo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.