Bayside Medical Group, Inc
LBN: Bayside Medical Group, Inc
Bayside Medical Group, Inc is an health care organization with primary practice located at 5720 Stoneridge Mall Rd Suite 240, Pleasanton CA 94588-2828. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Bayside Medical Group, Inc can be contacted via phone (925) 463-1234, or through Shenkin, Budd Norman via phone (925) 587-2505.
Contact Information
Primary practice address
5720 Stoneridge Mall Rd Suite 240
Pleasanton CA 94588-2828
Phone: (925) 463-1234
Fax: (925) 463-9599
Website:
Authorized official contact:
Name: Shenkin, Budd Norman Doctor of Medicine (MD)
Phone: (925) 587-2505
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1689633240 |
|---|---|
| LBN Legal business name | Bayside Medical Group, Inc |
| DBA Doing business as | |
| Authorized official | Shenkin, Budd Norman Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jun 4th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689633240 | NPPES |
| California | Other | ZZZ06346Z | MEDICARE |
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