Organization Active NPI

Bay Area Surgical Specialists Inc a Medical Corporation

  • Podiatrist
  • Porterville, CA
National Provider Identifier
1790331189
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
BAY AREA SURGICAL SPECIALISTS INC A MEDICAL CORPORATION
Practice address
774 N Prospect St Ste B
Porterville, CA 93257-1941
Phone
(559) 627-2849
Fax
(559) 627-9772
NPI assigned
Aug 13, 2019
Last updated
Aug 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Authorized official

Name
Gregory A Rhodes, MD
Title
Authorized Official, President
Phone
(925) 932-6330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X Primary

Addresses

Primary practice location

774 N Prospect St Ste B
Porterville, CA 93257-1941

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 948-8143

National Provider Directory

National Provider Directory

Locations

774 N Prospect St
Ste B
Porterville, CA 93257
Phone (559) 627-2849

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1790331189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-948-8143",
            "fax_number": "925-215-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 N PROSPECT ST STE B",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571941",
            "telephone_number": "559-627-2849",
            "fax_number": "559-627-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA SURGICAL SPECIALISTS INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL, PRESIDENT",
        "authorized_official_telephone_number": "925-932-6330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.