Bay Area Rehabilitation Medical Group

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

C385990 Issued in CA

Legal business name

BAY AREA REHABILITATION MEDICAL GROUP

Practice address

19830 Lake Chabot Rd
Ste C
Castro Valley, CA 94546-4063

Phone

(510) 537-7873

NPI assigned

May 31, 2005

Last updated

May 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David C Bradshaw, M.D.NPI 1811990468

Title

Partner

Phone

(510) 537-7873

Specialties & licenses 1

Addresses

Practitioners 1

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.

• David C Bradshaw, MD PC

  • Physical Medicine & Rehabilitation Physician
  • Castro Valley, CA
  • NPI 1811990468
  Authorized official Same address or phone

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1891798203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 HAYES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171013",
            "telephone_number": "415-750-5761",
            "fax_number": "415-666-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19830 LAKE CHABOT RD",
            "address_2": "STE C",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464063",
            "telephone_number": "510-537-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA REHABILITATION MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "510-537-7873",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "C385990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sophie Baylon, RD

• Physical Medicine & Rehabilitation Physician in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.