NPIMap

Organization Active NPI

Bay Area Occupational Medical Group, PC

  • Urgent Care Clinic/Center
  • San Jose, CA
National Provider Identifier
1780431106
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BAY AREA OCCUPATIONAL MEDICAL GROUP, PC
Practice address
110 N 3Rd St
San Jose, CA 95112-5696
Phone
(408) 882-3700
Fax
(669) 230-5891
NPI assigned
May 3, 2024
Last updated
Aug 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Ernesto M. Alvero, PANPI 1013006477
Title
Ceo
Phone
(831) 277-2825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

110 N 3Rd St
San Jose, CA 95112-5696

Mailing address

110 N 3Rd St
San Jose, CA 95112-5696
Phone (408) 882-3700

Other names 1

  • Bay Area Occupational Medical Group Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2303472Bay Area Occupational110 N 3Rd Street, San Jose, CA 95112Certificate of waiverApr 24, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1780431106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 3RD ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125696",
            "telephone_number": "408-882-3700",
            "fax_number": "669-230-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 3RD ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125696",
            "telephone_number": "408-882-3700",
            "fax_number": "669-230-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA OCCUPATIONAL MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "ALVERO",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "831-277-2825",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Occupational Medical Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Bay Area Occupational Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.