BAY AREA SURGICAL SPECIALISTS INC A MEDICAL CORPORATION (NPI# 1023501905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023501905 |
Entity Type | Organization |
Organization Name | BAY AREA SURGICAL SPECIALISTS INC A MEDICAL CORPORATION |
Other Organization Name | BASS IMAGING CENTER |
Practice Address |
2637 Shadelands Dr Walnut Creek CA 94598 |
Mailing Address |
2637 Shadelands Dr Walnut Creek CA 94598-2512 |
Practice Telephone | 9253293710 |
Practice Fax Number | 9253293711 |
Mailing Telephone | 9253293710 |
Mailing Fax Number | 9253293711 |
Enumeration Date | 2018-06-14 |
Last Update Date | 2018-08-27 |
Authorized Official Name | GREGORY A RHODES (PRESIDENT) |
Authorized Official Telephone | 9259326330 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
BASS Imaging Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
1083171268 | Bay Area Surgical Specialists Inc A Medical Corporation | Clinic/Center | 500 E Remington Dr Ste 18, Sunnyvale, CA 94087-2611 | 2019-02-25 |
1811479504 | Bay Area Surgical Specialists Inc A Medical Corporation | Clinic/Center | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-08-30 |
1265914956 | Bay Area Surgical Specialists Inc A Medical Corporation | Clinical Medical Laboratory | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-08-30 |
1619485695 | Bay Area Surgical Specialists Inc A Medical Corporation | Radiology | 2242 Camino Ramon Ste 100, San Ramon, CA 94583-1363 | 2018-01-12 |
1760856579 | Bay Area Surgical Specialists Inc A Medical Corporation | Orthopaedic Surgery | 130 La Casa Via, Bldg 3-111, Walnut Creek, CA 94598-3045 | 2015-11-17 |
1396124574 | Bay Area Surgical Specialists Inc A Medical Corporation | Orthopaedic Surgery | 2350 Country Hills Dr, Suite B, Antioch, CA 94509-7436 | 2015-05-21 |
1154401941 | Bay Area Surgical Specialists Inc A Medical Corporation | Specialist | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2006-10-16 |
Street Address |
2637 SHADELANDS DR |
City | WALNUT CREEK |
State | CA |
Zip Code | 94598 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346244183 | Fernando R Otero | Surgery | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2005-06-09 |
1568012052 | Angela Leverich | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2019-09-16 |
1811479504 | Bay Area Surgical Specialists Inc A Medical Corporation | Clinic/Center | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-08-30 |
1265914956 | Bay Area Surgical Specialists Inc A Medical Corporation | Clinical Medical Laboratory | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-08-30 |
1396245064 | Kimberly Dionne Oja | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-02-19 |
1679080071 | Corinne R Colombo | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2018-01-07 |
1750892501 | Kathryne Chirco | Nurse Practitioner | 2637 Shadelands Dr, Walnut Creek, CA 94598 | 2017-10-19 |
1295274488 | Advanced Sleep Diagnostics, Inc. | Otolaryngology | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2017-02-21 |
1649681982 | Heidi Chang | Obstetrics & Gynecology | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2014-05-08 |
1508159567 | Audrey Elisabeth Arzamendi | Internal Medicine | 2637 Shadelands Dr, Walnut Creek, CA 94598-2512 | 2011-05-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
Find all providers in zip 94598 |
Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
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1699312520 | Onsyte Imaging | Clinic/Center | 18923 Vintage St, Northridge, CA 91324-1241 | 2019-12-10 |
1679119580 | Vanguard Health | Clinic/Center | 10557 Juniper Ave Ste E2, Fontana, CA 92337-7589 | 2019-11-26 |
1679115000 | Del Norte Healthcare District | Clinic/Center | 550 E Washington Blvd Ste 400, Crescent City, CA 95531-8161 | 2019-10-17 |
1144879198 | Southern California Medical Imaging and Open Mri | Clinic/Center | 1809 Verdugo Blvd Ste 100, Glendale, CA 91208-1402 | 2019-09-11 |
1467925016 | Plus Imaging LLC | Clinic/Center | 9555 Foothill Blvd Ste A, Rancho Cucamonga, CA 91730-3576 | 2019-01-07 |
1275026478 | A Step Above Foot Care Inc | Clinic/Center | 3816 Woodruff Ave Ste 302, Long Beach, CA 90808-2146 | 2018-06-12 |
1225542665 | Peak Diagnostic | Clinic/Center | 8901 Activity Rd Ste 103, San Diego, CA 92126-4436 | 2017-11-21 |
1346775665 | Advantage Mri Roseville Lp | Clinic/Center | 2990 Lava Ridge Ct, Suite100, Roseville, CA 95661-3057 | 2017-04-24 |
1821484312 | Access Imaging, LLC | Clinic/Center | 1601 Ives Ave, C & D, Oxnard, CA 93033-1907 | 2015-04-10 |
1083007389 | Access Imaging, LLC | Clinic/Center | 4381 Brockton Ave, Riverside, CA 92501-3470 | 2015-03-11 |
Find all providers with the same taxonomy |
City | WALNUT CREEK |
Zip Code | 94598 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.