Organization Active NPI

North Bay Surgical Group

  • Surgery Physician
  • Corte Madera, CA
National Provider Identifier
1912063538
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G46606 Issued in CA
Legal business name
NORTH BAY SURGICAL GROUP
Practice address
770 Tamalpais Dr
Suite 402
Corte Madera, CA 94925-1700
Phone
(415) 927-7900
Fax
(415) 927-7925
NPI assigned
Dec 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda S Christensen, RN
Title
Office Manager
Phone
(415) 927-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G46606 CA Primary

Addresses

Primary practice location

770 Tamalpais Dr
Suite 402
Corte Madera, CA 94925-1700

Mailing address

770 Tamalpais Dr
Suite 402
Corte Madera, CA 94925-1700
Phone (415) 927-7900

National Provider Directory

National Provider Directory

Locations

770 Tamalpais Dr
Ste 402
Corte Madera, CA 94925
Phone (415) 927-0990

Practitioners & affiliated clinicians

Practitioners 3

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912063538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 TAMALPAIS DR",
            "address_2": "SUITE 402",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251700",
            "telephone_number": "415-927-7900",
            "fax_number": "415-927-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 TAMALPAIS DR",
            "address_2": "SUITE 402",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251700",
            "telephone_number": "415-927-7900",
            "fax_number": "415-927-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "415-927-7900",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G46606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.