Organization Active NPI

Bay Area Surgical Specialists, Inc. a Medical Corporation

  • Neurology Physician
  • Pleasant Hill, CA
National Provider Identifier
1922475284
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BAY AREA SURGICAL SPECIALISTS, INC. A MEDICAL CORPORATION
Practice address
400 Taylor Blvd
Suite 301
Pleasant Hill, CA 94523-2147
Phone
(925) 602-7060
Fax
(905) 602-7070
NPI assigned
Aug 21, 2015
Last updated
Mar 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Inez Wondeh
Title
Ceo
Phone
(925) 948-8143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

400 Taylor Blvd
Suite 301
Pleasant Hill, CA 94523-2147

Mailing address

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 948-8143

Other identifiers 1

IdentifierTypeStateIssuer
7360010005OtherNSC MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1922475284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-948-8143",
            "fax_number": "925-215-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR BLVD",
            "address_2": "SUITE 301",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232147",
            "telephone_number": "925-602-7060",
            "fax_number": "905-602-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA SURGICAL SPECIALISTS, INC. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "WONDEH",
        "authorized_official_first_name": "INEZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-948-8143"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC MEDICARE",
            "identifier": "7360010005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.