NPIMap

Organization Active NPI

Bay Area Sports Clinic

  • Specialist
  • San Mateo, CA
National Provider Identifier
1720315161
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
FNP 38941 Issued in CA
Legal business name
BAY AREA SPORTS CLINIC
Practice address
50 S San Mateo Dr
Suite 470
San Mateo, CA 94401-3857
Phone
(650) 348-5400
NPI assigned
Nov 5, 2009
Organization subpart
Yes
Parent organization
THE ORTHOPAEDIC GROUP OF SAN FRANCISCOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Authorized official

Name
Laura N Sciaroni, M.D.
Title
President
Phone
(650) 992-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X FNP 38941 CA Primary

Addresses

Primary practice location

50 S San Mateo Dr
Suite 470
San Mateo, CA 94401-3857

Mailing address

1800 Sullivan Ave
Suite 402
Daly City, CA 94015-2228
Phone (650) 992-7700

National Provider Directory

National Provider Directory
Tax ID family
The Orthopaedic Group of SF Inc2 organizations share this tax ID, including this one
Part of
The Orthopaedic Group of SF Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50 S San Mateo Dr
Ste 470
San Mateo, CA 94401
Phone (415) 348-5400

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1720315161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SULLIVAN AVE",
            "address_2": "SUITE 402",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152228",
            "telephone_number": "650-992-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR",
            "address_2": "SUITE 470",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013857",
            "telephone_number": "650-348-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA SPORTS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ORTHOPAEDIC GROUP OF SAN FRANCISCO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "SCIARONI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-992-7700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "FNP 38941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 5, 2009; 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.