Bay Area Pediatric Medical Group Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BAY AREA PEDIATRIC MEDICAL GROUP INC

Practice address

123 S San Mateo Dr
San Mateo, CA 94401-3804

Phone

(650) 343-4200

Fax

(650) 343-5379

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Donna L Oconnell

Title

Manager Business Office

Phone

(650) 994-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bay Area Pediatric Medical Group Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Bay Area Pediatric Group Inc

  • Pediatrics Physician
  • Daly City, CA
  • NPI 1851565782
  NPD tax ID
• Bay Area Pediatric Medical Group Inc

  • Pediatrics Physician
  • Daly City, CA
  • NPI 1568636538
  NPD tax ID
• Bay Area Pediatric Medical Group Inc

  • Pediatrics Physician
  • Daly City, CA
  • NPI 1619142544
  NPD tax ID

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760559462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVE",
            "address_2": "SUITE 213",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152259",
            "telephone_number": "650-994-1800",
            "fax_number": "650-994-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013804",
            "telephone_number": "650-343-4200",
            "fax_number": "650-343-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PEDIATRIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OCONNELL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER BUSINESS OFFICE",
        "authorized_official_telephone_number": "650-994-1800"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0081923",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherokee Batten
• Margaret Irene Baum
• Kimberly Bausback
• Joselyn Natividad Bautista Zamudio, MSW
• Amanda Bautista
• Bay Area Reproductive Healthcare PC
• Bay Area Sports Clinic
• Bay Area Urology Medical Group
• Bay Area Urology Medical Group
• Bay Dental Associates

• Pediatrics Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.