Organization Active NPI

Bay Senior Medical House Clinic PC

  • Clinic/Center
  • Fremont, CA
National Provider Identifier
1821783903
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BAY SENIOR MEDICAL HOUSE CLINIC PC
Practice address
34220 Angus Court
Fremont, CA 94555
Phone
(510) 417-8733
NPI assigned
Apr 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Shui Leung
Title
Manager
Phone
(510) 417-8733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

34220 Angus Court
Fremont, CA 94555

Mailing address

39899 Balentine Dr Ste 200
Newark, CA 94560-5361
Phone (510) 417-8733

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1821783903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39899 BALENTINE DR STE 200",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605361",
            "telephone_number": "510-417-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34220 ANGUS COURT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94555",
            "telephone_number": "510-417-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY SENIOR MEDICAL HOUSE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "SHUI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "510-417-8733"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.