Bay Area Kidney Care Medical Group Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BAY AREA KIDNEY CARE MEDICAL GROUP INC.

Practice address

39370 Mozart Terrace Unit 106
Fremont, CA 94538

Phone

(734) 358-8833

Fax

(972) 428-3630

NPI assigned

Apr 13, 2020

Last updated

Apr 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Chyn Tsui, MDNPI 1942476940

Title

Ceo

Phone

(734) 358-8833

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Cynthia Chyn Tsui, MD

  • Nephrology Physician
  • Fremont, CA
  • NPI 1942476940
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1699394460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39370 MOZART TERRACE UNIT 106",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "734-358-8833",
            "fax_number": "972-428-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39370 MOZART TERRACE UNIT 106",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "734-358-8833",
            "fax_number": "972-428-3630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13939 E 14t Street",
            "address_2": "Suite 170",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945789453",
            "country_code": "US",
            "telephone_number": "925-222-5666",
            "fax_number": "972-428-3630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY AREA KIDNEY CARE MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "TSUI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "CHYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-358-8833",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942476940",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fremont",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fremont",
            "address_1": "39370 Mozart Terrace Unit 106",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bay Area Community Health
• Bay Area Community Services, Inc. (South County Wellness Center)
• Bay Area Community Services, Inc.
• Bay Area Foot Care Inc (Bay Area Foot Care)
• Bay Area Foot Care, Inc
• Bay Area Marriage Family & Child Counseling, Inc.
• Bay Area MHS LLC (The Compassion Group)
• Bay Area Multi-Specialty Group
• Bay Area OBGYN Medical Group
• Bay Area Rehab & Medical

• Medical Specialty Clinic/Center in Fremont, CA
• Providers in Fremont, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.