Bay Family Medical Group, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BAY FAMILY MEDICAL GROUP, INC.

Doing business as

Bay Family Medical Group

Practice address

50 S San Mateo Dr Ste 230
San Mateo, CA 94401-3842

Phone

(650) 348-0454

Fax

(650) 348-7923

NPI assigned

Oct 12, 2006

Last updated

Feb 25, 2022By 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

Ms. Rosie Tan-Cantiga

Title

Practice Manager

Phone

(650) 348-0454

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bay Family Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 5

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.

• Judith Alderman, N.P.

  • Nurse Practitioner
  • San Carlos, CA
  • NPI 1407225121
  Medicare reassignment NPD
• Alexander Moldanado, M.D.

  • Family Medicine Physician
  • San Mateo, CA
  • NPI 1184617136
  Medicare reassignment NPD
• Adam Paley, MD

  • Family Medicine Physician
  • San Mateo, CA
  • NPI 1346235538
  Medicare reassignment NPD
• Kristen Willison, MD

  • Family Medicine Physician
  • San Mateo, CA
  • NPI 1306831599
  Medicare reassignment NPD
• Howard Belfer, MD

  • Neurology Physician
  • San Mateo, CA
  • NPI 1740206457
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1982793196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR STE 230",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013842",
            "telephone_number": "650-340-6040",
            "fax_number": "650-348-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR STE 230",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013842",
            "telephone_number": "650-348-0454",
            "fax_number": "650-348-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY FAMILY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "TAN-CANTIGA",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "650-348-0454",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. ALEXANDER MOLDANADO",
            "identifier": "94-29877982",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHELE LOBITZ, FNP",
            "identifier": "ZZZ141372",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Family Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Family Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lorine Estelle Bay, MA

• Primary Care Clinic/Center in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.