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

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.

Title

Partner

Phone

(510) 537-7873

Specialties & licenses 1

Addresses

Other identifiers 2

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MCRERR",
            "identifier": "CP1128",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0008971",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forrest Batz, PHARM.D.
• Johann Bautista
• Bay Area DME
• Bay Area Endoscopy Center LLC
• Bay Area Health & Wellness Inc
• Bay Area Trauma and Acute Care Surgical Specialists
• Bay Imaging Consultants Medical Group Inc
• Bay Imaging Consultants Medical Group Inc
• Bay Valley Medical Group, Inc.
• 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.