Northbay Healthcare Group

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NORTHBAY HEALTHCARE GROUP

Doing business as

NorthBay Hospice & Bereavement

Practice address

1101 B.Gale Wilson Blvd
Suite 101a
Fairfield, CA 94533

Phone

(707) 646-3595

Fax

(707) 646-3577

NPI assigned

Aug 22, 2005

Last updated

May 1, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHBAY HEALTHCARE GROUPAs reported in NPPES

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

Authorized official

Name

John David Ryland

Title

Hospice Manager

Phone

(707) 646-4095

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NorthBay Hospice & Bereavement Doing business as

Listed as

Northbay Hospice & BereavementCCN 051651

Ownership

Other

Certified

May 10, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Part of

McCombs and Wilson MDS

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northbay Healthcare Group

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1225363757
  NPPES parent name

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1720070071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BUSINESS CENTER DRIVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346888",
            "telephone_number": "707-646-3595",
            "fax_number": "707-646-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 B.GALE WILSON BLVD",
            "address_2": "SUITE 101A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "94533",
            "telephone_number": "707-646-3595",
            "fax_number": "707-646-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHBAY HEALTHCARE GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHBAY HEALTHCARE GROUP",
        "enumeration_date": "2005-08-22",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "RYLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "HOSPICE MANAGER",
        "authorized_official_telephone_number": "707-646-4095"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC HEALTH LICENSE",
            "identifier": "550009228",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HPC01651F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthBay Hospice & Bereavement",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NorthBay Hospice & Bereavement",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northbay Family Compounding Pharmacy LLC
• Northbay Health Advantage (Solano Diagnostic Imaging)
• Northbay Health Foundation
• Northbay Health Medical Foundation (NorthBay Health Medical Network)
• Northbay Healthcare Group
• Northbay Healthcare Group (NorthBay Health Urgent Care)
• Northbay Healthcare Group (dba NorthBay Medical Center)
• Northbay Healthcare Group
• Northbay Medical Center Pharmacy
• Northern California Injury Centers Inc.

• Community Based Hospice Care Agency in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.