NPIMap

Organization Active NPI

Bay Area PL Services

  • Emergency Medicine Physician
  • San Bruno, CA
National Provider Identifier
1932858628
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BAY AREA PL SERVICES
Practice address
841 San Bruno Ave W Ste 100
San Bruno, CA 94066-3443
Phone
(415) 300-4436
Fax
(415) 367-1514
NPI assigned
Mar 21, 2022
Organization subpart
Yes
Parent organization
BAY AREA PL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Salustiano RibeiroNPI 1609351212
Title
Ceo
Phone
(415) 300-4436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

841 San Bruno Ave W Ste 100
San Bruno, CA 94066-3443

Mailing address

841 San Bruno Ave W Ste 100
San Bruno, CA 94066-3443
Phone (415) 300-4436

Other names 1

  • BAYPLS - Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220805002760 CA Part B Supplier - Clinic/Group Practice 0143614305 Receives reassigned benefits from 2 practitioners
Practice locations: San Bruno, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bay Area PL Services2 organizations share this tax ID, including this one
Part of
Bay Area PL Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

841 San Bruno Ave W
Ste 100
San Bruno, CA 94066
Phone (415) 300-4436

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1932858628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 SAN BRUNO AVE W STE 100",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663443",
            "telephone_number": "415-300-4436",
            "fax_number": "415-367-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 SAN BRUNO AVE W STE 100",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663443",
            "telephone_number": "415-300-4436",
            "fax_number": "415-367-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA PL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAY AREA PL SERVICES",
        "enumeration_date": "2022-03-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "RIBEIRO",
        "authorized_official_first_name": "SALUSTIANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-300-4436"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYPLS - Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.