Bay Area Pediatric Medical Group Inc

LBN: Bay Area Pediatric Medical Group Inc
Bay Area Pediatric Medical Group Inc is an health care organization with primary practice located at 123 S San Mateo Dr , San Mateo CA 94401-3804. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Bay Area Pediatric Medical Group Inc can be contacted via phone (650) 343-4200, or through Oconnell, Donna L via phone (650) 994-1800.

Contact Information

Primary practice address
123 S San Mateo Dr San Mateo CA 94401-3804
Phone: (650) 343-4200
Fax: (650) 343-5379
Website:
Map and Directions
Authorized official contact:
Name: Oconnell, Donna L
Phone: (650) 994-1800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1760559462
LBN Legal business name Bay Area Pediatric Medical Group Inc
DBA Doing business as
Authorized official Oconnell, Donna L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760559462 NPPES
California MEDICAID GR0081923

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