Active NPI
Northbay Medical Center Pharmacy
- General Acute Care Hospital
- Fairfield, CA
National Provider Identifier
1740623586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 91000196
- Legal business name
- NORTHBAY MEDICAL CENTER PHARMACY
- Practice address
- 1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552 - Phone
- (707) 646-4290
- Fax
- (707) 646-4264
- NPI assigned
- Apr 11, 2013
- Last updated
- Dec 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan Seo
- Title
- Director of Pharmacy
- Phone
- (707) 646-4290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 91000196 | CA | Primary |
Addresses
Primary practice location
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Mailing address
1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 646-4290
National Provider Directory
National Provider Directory- Tax ID family
- McCombs and Wilson MDS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba The Surgery Center
- Ambulatory Surgical Clinic/Center
- Vacaville, CA
- NPI 1003015843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576454400000",
"number": "1740623586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 B GALE WILSON BLVD",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333552",
"telephone_number": "707-646-4290",
"fax_number": "707-646-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 B GALE WILSON BLVD",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945333552",
"telephone_number": "707-646-4290",
"fax_number": "707-646-4264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHBAY MEDICAL CENTER PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-11",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A",
"authorized_official_last_name": "SEO",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "707-646-4290"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "91000196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
- Northbay Healthcare Group
- Northbay Healthcare Group (NorthBay Hospice & Bereavement)
- Northbay Healthcare Group (NorthBay Health Urgent Care)
- Northbay Healthcare Group (dba NorthBay Medical Center)
- Northbay Healthcare Group
- Northern California Injury Centers Inc.
- Northern California Retired Officers Community (Laurel Creek Health Center)
- Tahira M Norwood Lewis
- Marcelle Nory MC Cutchan
- Irina Nosovsky, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.