West Bay Urgent Care Associates Inc a Medical Corporation

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

WEST BAY URGENT CARE ASSOCIATES INC A MEDICAL CORPORATION

Doing business as

West Bay Urgent Care Associates

Practice address

4000 Civic Center Dr
Suite 206
San Rafael, CA 94903-5233

Phone

(415) 492-4808

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Richard Bodony, MD

Title

President

Phone

(818) 340-9988

Specialties & licenses 1

Addresses

Other names 1

• West Bay Urgent Care Associates Doing business as

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1770917478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4419",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913654419",
            "telephone_number": "818-340-9988",
            "fax_number": "818-587-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR",
            "address_2": "SUITE 206",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949035233",
            "telephone_number": "415-492-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BAY URGENT CARE ASSOCIATES INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "BODONY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-340-9988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Bay Urgent Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Welter, M.S.
• Stephen Edward Welter, M.D.
• Hui-Shan A. Wen, DO
• Lauren Foley Wenderoth, RD
• Gina Wermuth, M.A., CCC-SLP
• West Coast Posttrauma Retreat
• Donna West, PHN
• Stacy West
• Westco Fiji Care LLC
• Judith Weston-Thompson, MFT

• Emergency Medicine Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.