Bayside Medical Group, Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BAYSIDE MEDICAL GROUP, INC

Practice address

5720 Stoneridge Mall Rd
Suite 240
Pleasanton, CA 94588-2828

Phone

(925) 463-1234

Fax

(925) 463-9599

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Budd Norman Shenkin, MD

Title

Owner/President

Phone

(925) 587-2505

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard D Ash, MD

  • Pediatrics Physician
  • San Ramon, CA
  • NPI 1366445298
  NPD (past)
• Karen Stover Barnes, CPNP

  • Pediatric Nurse Practitioner
  • Pinole, CA
  • NPI 1962767111
  NPD (past)
• Hannah Ethel Barbara Boal, MD

  • Pediatrics Physician
  • Oakland, CA
  • NPI 1265675243
  NPD (past)
• Paula Brinkley, MD

  • Pediatrics Physician
  • Dublin, CA
  • NPI 1508027681
  NPD (past)
• Sara Buckelew, MD

  • Pediatrics Physician
  • Oakland, CA
  • NPI 1841250750
  NPD (past)
• Thomas P Collopy, M.D.

  • Anesthesiology Physician
  • Lakewood, CA
  • NPI 1275502262
  NPD (past)
• Sabra Daly, PA

  • Physician Assistant
  • Berkeley, CA
  • NPI 1043271448
  NPD (past)
• Lisa Erburu, MD

  • Pediatrics Physician
  • Walnut Creek, CA
  • NPI 1891755732
  NPD (past)
• Beverly Estes, MD

  • Pediatrics Physician
  • Pinole, CA
  • NPI 1851351795
  NPD (past)
• Katya Tova Gerwein, MD

  • Pediatrics Physician
  • Berkeley, CA
  • NPI 1770542326
  NPD (past)
• Carol L Gill, MD

  • Pediatrics Physician
  • Livermore, CA
  • NPI 1922067578
  NPD (past)
• Harry H. Huang, M.D

  • Pediatrics Physician
  • Antioch, CA
  • NPI 1073577979
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1689633240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 DUBLIN BLVD",
            "address_2": "SUITE C140",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682843",
            "telephone_number": "925-587-2505",
            "fax_number": "925-587-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 STONERIDGE MALL RD",
            "address_2": "SUITE 240",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882828",
            "telephone_number": "925-463-1234",
            "fax_number": "925-463-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "SHENKIN",
        "authorized_official_first_name": "BUDD",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "925-587-2505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZZZ06346Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Area Psychiatric Group
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• Bay Nutrition Clinic, Inc
• Bay Valley Medical Group, Inc.
• Allison Bayer, PA-C
• Adriana Beacon, PT
• Samantha Beatts, M.ED., BCBA
• Rachel Carolyn Becker
• Neisha Becton
• Tasnim Mirza Beg, MD, MPH

• Pediatrics Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.