Bay Area Medical Group Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

A82213 Issued in CA

Legal business name

BAY AREA MEDICAL GROUP INC

Doing business as

Bay Area Medical Group Inc

Practice address

105 N Bascom Ave
204
San Jose, CA 95128-1811

Phone

(408) 918-0400

Fax

(408) 286-2922

NPI assigned

Aug 3, 2015

Last updated

Aug 5, 2015By 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

Dr. Shahriar Heidary, MD

Title

Cardiologist

Phone

(408) 761-4671

Specialties & licenses 1

Addresses

Other names 1

• Bay Area Medical Group Inc Doing business as

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14322/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1932585874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N BASCOM AVE",
            "address_2": "204",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281811",
            "telephone_number": "408-918-0400",
            "fax_number": "408-286-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N BASCOM AVE",
            "address_2": "204",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281811",
            "telephone_number": "408-918-0400",
            "fax_number": "408-286-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "HEIDARY",
        "authorized_official_first_name": "SHAHRIAR",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "408-761-4671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A82213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Medical Group Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.