BAYSIDE UROLOGY MEDICAL GROUP INC (NPI# 1164536579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164536579 |
| Entity Type | Organization |
| Organization Name | BAYSIDE UROLOGY MEDICAL GROUP INC |
| Practice Address |
450 4th Ave Ste 303 Chula Vista CA 91910-4429 |
| Practice Telephone | 6194200201 |
| Practice Fax Number | 6194257795 |
| Mailing Telephone | 6194200201 |
| Mailing Fax Number | 6194257795 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2011-05-10 |
| Authorized Official Name | DANIEL B. HUNTING (OWNER) |
| Authorized Official Telephone | 6194200201 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C371780 | 05 |
| Street Address |
450 4TH AVE STE 303 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132556 | Daniel B Hunting | Urology | 450 4th Ave, Ste 303, Chula Vista, CA 91910-4429 | 2005-05-31 |
| 1679008379 | Priscilla La Berge-inda | Physician Assistant | 450 4th Ave, Suite #215, Chula Vista, CA 91910-4426 | 2017-05-01 |
| 1407153273 | Park Medical Pharmacy, Inc | Pharmacy | 450 4th Ave, Suite 100, Chula Vista, CA 91910-4426 | 2011-02-14 |
| 1982910741 | John A Grimaldi Do Inc | Urology | 450 4th Ave, Sutie 312, Chula Vista, CA 91910-4426 | 2010-08-31 |
| 1558500330 | Evelyn Camacho | Hearing Instrument Specialist | 450 4th Ave, Suite 200, Chula Vista, CA 91910 | 2009-02-18 |
| 1437337680 | Jessica Anderson | Audiologist-Hearing Aid Fitter | 450 4th Ave, Suite 306, Chula Vista, CA 91910-4426 | 2008-02-08 |
| 1659550846 | Denise A Trent | Registered Nurse | 450 4th Ave, Suite 215, Chula Vista, CA 91910-4426 | 2007-10-24 |
| 1073707584 | San Diego Neurosurgery and Spine Institute | Neurological Surgery | 450 4th Ave, Suite 405, Chula Vista, CA 91910-4426 | 2007-08-29 |
| 1821157033 | John Alexander Grimaldi | Urology | 450 4th Ave, Suite 312, Chula Vista, CA 91910-4426 | 2006-12-06 |
| 1366545733 | Vitali Aizin | Internal Medicine | 450 4th Ave, Suite 215, Chula Vista, CA 91910-4426 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396296539 | Esteban Monge | Specialist | 1489 Taber Dr, Chula Vista, CA 91911-7037 | 2016-10-24 |
| 1871971853 | Miriam Minerva Nino | Specialist | 1468 S Creekside Dr, Chula Vista, CA 91915-1563 | 2015-05-11 |
| 1871929455 | Jean-michel Balensi | Specialist | 280 Landis Ave, Chula Vista, CA 91910-2627 | 2013-09-16 |
| 1346514965 | Caleb Dominguez | Specialist | 1009 Oak Hill Dr, Chula Vista, CA 91915-1409 | 2012-02-29 |
| 1730478512 | Juana Hortencia Hernandez | Specialist | 333 H St Ste 5065, Chula Vista, CA 91910-5555 | 2011-04-01 |
| 1376870014 | Ruben Eustaquio Siasoco | Specialist | 1129 Pacifica Ave, Chula Vista, CA 91913-1552 | 2009-11-16 |
| 1588899512 | Erick H. Alayo Medical Corporation | Specialist | 353 Church Ave, Suite A, Chula Vista, CA 91910-3906 | 2009-05-19 |
| 1366617540 | Angela Anita Rackley | Specialist | 178 Eckman Ct, Chula Vista, CA 91911-5203 | 2008-04-28 |
| 1801075643 | Daniel B Cullan II Md Inc | Specialist | 955 Lane Ave Ste 200, Chula Vista, CA 91914-4525 | 2007-10-29 |
| 1326101247 | Robin Victor Smith | Specialist | 450 4th Ave Ste 402, Chula Vista, CA 91910-4430 | 2006-12-19 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
Please comment or provide details below to improve the information on BAYSIDE UROLOGY MEDICAL GROUP INC.
| 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.