NPIMap

Organization Active NPI

Bay Area Community Diabetes Educators LLC

Doing business as Bay Area CDE

  • Registered Dietitian
  • San Jose, CA
National Provider Identifier
1902132806
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
931788 Issued in CA
Legal business name
BAY AREA COMMUNITY DIABETES EDUCATORS LLC
Doing business as
Bay Area CDE
Practice address
1150 S Bascom Ave
Ste 26
San Jose, CA 95128-3509
Phone
(408) 998-2325
Fax
(408) 998-2022
NPI assigned
Oct 27, 2009
Last updated
May 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Chiang Lam
Title
President
Phone
(408) 998-2325

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 2091-0313 CA
Registered Dietitian 133V00000X 931788 CA Primary
Diabetes Educator Registered Nurse 163WD0400X 153880 CA

Addresses

Primary practice location

1150 S Bascom Ave
Ste 26
San Jose, CA 95128-3509

Mailing address

1150 S Bascom Ave
Ste 26
San Jose, CA 95128-3509
Phone (408) 998-2325

Other names 1

  • Bay Area CDE Doing business as

National Provider Directory

National Provider Directory

Locations

1150 S Bascom Ave
Ste 26
San Jose, CA 95128
Phone (408) 998-2325

2211 Moorpark Ave
Ste 218
San Jose, CA 95128
Phone (408) 998-2325

Practitioners & affiliated clinicians

Practitioners 10

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": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1902132806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S BASCOM AVE",
            "address_2": "STE 26",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283509",
            "telephone_number": "408-998-2325",
            "fax_number": "408-998-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S BASCOM AVE",
            "address_2": "STE 26",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283509",
            "telephone_number": "408-998-2325",
            "fax_number": "408-998-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA COMMUNITY DIABETES EDUCATORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "CHIANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-998-2325"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "2091-0313",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "931788",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "153880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area CDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.