Organization Active NPI

Bay Area PL Services

  • Clinical Medical Laboratory
  • San Bruno, CA
National Provider Identifier
1972088581
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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
Sep 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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
Clinical Medical Laboratory 291U00000X 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 - LAB Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220303002470 CA Part B Supplier - Independent Clinical Laboratory 0143614305 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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2179598Bay Area PL Services841 San Bruno Ave Ste 100, San Bruno, CA 94066AccreditationMar 26, 2028

National Provider Directory

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

Other organizations with this tax ID 1

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

321 Potrero Ave
Ste A
San Francisco, CA 94103

331 Potrero Ave
San Francisco, CA 94103

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1972088581",
    "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": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "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": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYPLS - LAB",
            "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 Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.