Bay Area Multi-Specialty Group

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

BAY AREA MULTI-SPECIALTY GROUP

Practice address

37553 Fremont Blvd
Fremont, CA 94536-3706

Phone

(559) 323-5660

Fax

(559) 298-9002

NPI assigned

Nov 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Pushpa Gursahani, M.D.

Title

Physician

Phone

(510) 797-1051

Specialties & licenses 3

Addresses

Other names 1

• Bay Area Multi-Specialty Group Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tariq Mirza, M.D.

  • Ph.D. Medical Genetics
  • Modesto, CA
  • NPI 1639195654

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1841769080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37553 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363706",
            "telephone_number": "559-323-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37553 FREMONT BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363706",
            "telephone_number": "559-323-5660",
            "fax_number": "559-298-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2460 Mission St Ste 218",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941102476",
            "country_code": "US",
            "telephone_number": "559-323-5660",
            "fax_number": "559-298-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "696 E Santa Clara St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951121911",
            "country_code": "US",
            "telephone_number": "559-323-5660",
            "fax_number": "559-298-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Scenic Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953506126",
            "country_code": "US",
            "telephone_number": "559-323-5660",
            "fax_number": "559-298-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 International Blvd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946011520",
            "country_code": "US",
            "telephone_number": "559-323-5660",
            "fax_number": "559-298-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY AREA MULTI-SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "GURSAHANI",
        "authorized_official_first_name": "PUSHPA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "510-797-1051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Multi-Specialty Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Area Multi-Specialty Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Fremont, CA
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.