Organization Active NPI

Bayside Mobile Medical Service

  • Home Health Agency
  • San Francisco, CA
National Provider Identifier
1962682062
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
CPT16284 Issued in CA
Legal business name
BAYSIDE MOBILE MEDICAL SERVICE
Practice address
390 Bartlett St Apt 9
San Francisco, CA 94110-3856
Phone
(415) 608-2174
Fax
(925) 849-4402
NPI assigned
Nov 7, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Nathan David Cron, CPT, CNA, EMTNPI 1295917433
Title
President Ceo Phlebotomist
Phone
(415) 608-2174

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
Home Health Agency 251E00000X CPT16284 CA Primary

Addresses

Primary practice location

390 Bartlett St Apt 9
San Francisco, CA 94110-3856

Mailing address

390 Bartlett St Apt 9
San Francisco, CA 94110-3856
Phone (415) 608-2174

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1962682062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 BARTLETT ST APT 9",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103856",
            "telephone_number": "415-608-2174",
            "fax_number": "925-849-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 BARTLETT ST APT 9",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103856",
            "telephone_number": "415-608-2174",
            "fax_number": "925-849-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE MOBILE MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "CRON",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT CEO PHLEBOTOMIST",
        "authorized_official_telephone_number": "415-608-2174",
        "authorized_official_credential": "CPT, CNA, EMT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "CPT16284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.