Bay Area Rehabilitation Medical Group

LBN: Bay Area Rehabilitation Medical Group
Bay Area Rehabilitation Medical Group is an health care organization with primary practice located at 19830 Lake Chabot Rd Ste C, Castro Valley CA 94546-4063. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Bay Area Rehabilitation Medical Group can be contacted via phone (510) 537-7873, or through Bradshaw, David C via phone (510) 537-7873.

Contact Information

Primary practice address
19830 Lake Chabot Rd Ste C Castro Valley CA 94546-4063
Fax:
Website:
Authorized official contact:
Name: Bradshaw, David C Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X C385990 California

Profile Details

NPI number 1891798203
LBN Legal business name Bay Area Rehabilitation Medical Group
DBA Doing business as
Authorized official Bradshaw, David C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated May 14th, 2008 - about 16 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 1891798203 NPPES
California Other CP1128 GROUP MCRERR
California MEDICAID GR0008971 GROUP MCRERR

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