Organization Active NPI

East Bay Pulmonary Specialists Inc.

  • Specialist
  • Danville, CA
National Provider Identifier
1811121809
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A97958 Issued in CA
Legal business name
EAST BAY PULMONARY SPECIALISTS INC.
Practice address
198 Lasata CT
Danville, CA 94526-4401
Phone
(510) 990-5978
NPI assigned
May 6, 2009
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Dr. Bobbak Vahid, MDNPI 1952449001
Title
Medical Doctor
Phone
(510) 990-5978

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
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X A97958 CA Primary

Addresses

Primary practice location

198 Lasata CT
Danville, CA 94526-4401

Mailing address

20410 Lake Chabot Rd
Suite 3
Castro Valley, CA 94546-5312
Phone (510) 728-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090820000060 CA Part B Supplier - Clinic/Group Practice 2163576570 Receives reassigned benefits from 1 practitioner
Practice locations: Castro Valley, CA; San Leandro, CA

National Provider Directory

National Provider Directory

Locations

20410 Lake Chabot Rd
Unit 3
Castro Valley, CA 94546
Phone (510) 728-0690

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

11040 Bollinger Canyon Rd
Ste E508
San Ramon, CA 94582

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 3

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": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1811121809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20410 LAKE CHABOT RD",
            "address_2": "SUITE 3",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465312",
            "telephone_number": "510-728-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 LASATA CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264401",
            "telephone_number": "510-990-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BAY PULMONARY SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "VAHID",
        "authorized_official_first_name": "BOBBAK",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "510-990-5978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A97958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.