North Bay Medical Group, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTH BAY MEDICAL GROUP, INC.

Practice address

3850 Montgomery Dr
Suite D
Santa Rosa, CA 95405-5207

Phone

(707) 591-0619

Fax

(707) 591-0617

NPI assigned

Aug 10, 2006

Last updated

Jul 21, 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

Dr. Eric James Kraut, M.D.

Title

President

Phone

(707) 591-0619

Specialties & licenses 1

Addresses

Locations

Practitioners 10

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.

• Natalia Balytsky, M.D.

  • Anesthesiology Physician
  • Santa Rosa, CA
  • NPI 1326146705
  NPD (past)
• Cyn Thia Ferrera, PH.D.

  • Psychologist
  • Santa Rosa, CA
  • NPI 1568473288
  NPD (past)
• Abdul Kezin Harris, M.D.

  • Surgery Physician
  • Santa Rosa, CA
  • NPI 1396859393
  NPD (past)
• John Gunn Lee, MD

  • Gastroenterology Physician
  • Orange, CA
  • NPI 1487734521
  NPD (past)
• David John Martin, M.D.

  • Urology Physician
  • Santa Rosa, CA
  • NPI 1225036320
  NPD (past)
• Amir Saffarian, M.D.

  • Urology Physician
  • Morgan Hill, CA
  • NPI 1861590176
  NPD (past)
• Adelina B Stateva, D.P.M.

  • Podiatrist
  • Lakeport, CA
  • NPI 1477588549
  NPD (past)
• Elaine U. Yutan, MD

  • Surgery Physician
  • San Francisco, CA
  • NPI 1356429948
  NPD (past)
• Gregory Alan Hamon, MD

  • Surgery Physician
  • San Antonio, TX
  • NPI 1225033194
  NPD (past)
• Jacob Joseph Parker, MD

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
  • NPI 1093788770
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992716450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 MONTGOMERY DR",
            "address_2": "SUITE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055207",
            "telephone_number": "707-591-0619",
            "fax_number": "707-591-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 MONTGOMERY DR",
            "address_2": "SUITE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954055207",
            "telephone_number": "707-591-0619",
            "fax_number": "707-591-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KRAUT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-591-0619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Bay Eye Associates a Medical Corporation (North Bay Eye Associates ASC)
• North Bay Eye Associates, a Medical Corporation (North Bay Eye Associates, Inc)
• North Bay Eye Associates, a Medical Corporation (North Bay Eye Associates, Inc)
• North Bay Foot and Ankle Clinic, Inc (Adelina B. Stateva)
• North Bay Medical Group Surgery Center
• North Bay Neuropsychology a Psychology Corporation
• North Bay Neurosurgical Associates Medical Group
• North Bay Pain Care
• North Bay Psychiatric Associates Inc
• North Bay Sleep Medicine Institute, Inc.

• Surgery Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.