Bay Area Retina Associates, Medical Group

LBN: Bay Area Retina Associates, Medical Group
Bay Area Retina Associates, Medical Group is an health care organization with primary practice located at 1460 N Camino Alto Ste 206 , Vallejo CA 94589-2567. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as the primary health care specialty. Bay Area Retina Associates, Medical Group can be contacted via phone (707) 552-9596, or through Mercado, Agnes via phone (925) 265-8324.

Contact Information

Primary practice address
1460 N Camino Alto Ste 206 Vallejo CA 94589-2567
Phone: (707) 552-9596
Fax: (707) 552-9599
Website:
Map and Directions
Authorized official contact:
Name: Mercado, Agnes CRCS
Phone: (925) 265-8324

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1790928067
LBN Legal business name Bay Area Retina Associates, Medical Group
DBA Doing business as
Authorized official Mercado, Agnes CRCS
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 15th, 2009
Last updated May 23rd, 2021 - 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 1790928067 NPPES
California MEDICAID GR0030671
California MEDICAID GR0030670

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