BAY AREA SURGICAL ASSOCIATES, INC (NPI# 1205839636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205839636 |
| Entity Type | Organization |
| Organization Name | BAY AREA SURGICAL ASSOCIATES, INC |
| Practice Address |
401 Gregory Ln Ste 204 Pleasant Hill CA 94523-2842 |
| Practice Telephone | 9257984606 |
| Practice Fax Number | 9257984671 |
| Mailing Telephone | 9257984606 |
| Mailing Fax Number | 9257984671 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LISA P WOOD (PRACTICE MANAGER) |
| Authorized Official Telephone | 9257984607 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2086S0129X |
Surgery Specialization: Vascular Surgery |
G54054 | CA | Allopathic & Osteopathic Physicians |
| X | 208600000X | Surgery | A43945 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
401 GREGORY LN STE 204 |
| City | PLEASANT HILL |
| State | CA |
| Zip Code | 94523-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851686653 | Aparna Vemuri | Family Medicine | 401 Gregory Ln, #104, Pleasant Hill, CA 94523-2800 | 2011-06-09 |
| 1700191376 | Bessma Hayder | Dentist | 401 Gregory Ln, Suite 236, Pleasant Hill, CA 94523-2800 | 2010-08-08 |
| 1396912671 | Jennifer Y Kim | Dentist | 401 Gregory Ln, Suite 206, Pleasant Hill, CA 94523-2800 | 2008-05-14 |
| 1568641223 | Irene Catherine White | Marriage & Family Therapist | 401 Gregory Ln, Ste. 108, Pleasant Hill, CA 94523-2800 | 2007-10-30 |
| 1316145659 | Jean Young-yum Kim | Dentist | 401 Gregory Ln, Pleasant Hill, CA 94523-2800 | 2007-07-09 |
| 1013132604 | Kenneth Joseph Fraga | Dentist | 401 Gregory Ln, #222, Pleasant Hill, CA 94523 | 2007-04-17 |
| 1346392065 | Sydney Lynn Wagner | Marriage & Family Therapist | 401 Gregory Ln, Suite 108, Pleasant Hill, CA 94523 | 2007-01-16 |
| 1245381797 | Yen Thi Vu | Dentist | 401 Gregory Ln, Suite # 226, Pleasant Hill, CA 94523-2800 | 2007-01-12 |
| 1184771370 | Marcy Ann Haas | Family Medicine | 401 Gregory Ln, Suite 104, Pleasant Hill, CA 94523-2800 | 2007-01-03 |
| 1467510974 | Kenneth A Swenson | Dentist | 401 Gregory Ln, Suite 142, Pleasant Hill, CA 94523-2800 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881110823 | Paola M Portillo | Counselor | 3480 Buskirk Dr, St 210, Plesant Hill, CA 94523 | 2017-08-22 |
| 1508309113 | Seven Bridges Speech Pathology Inc | Speech-Language Pathologist | 140 Gregory Lane, Suite 280, Pleasant Hill, CA 94523 | 2016-11-30 |
| 1669856761 | Mikelle Waite Millward | Speech-Language Pathologist | 111 Cleaveland Rd Apt 102, Pleasant Hill, CA 94523 | 2015-07-17 |
| 1568870186 | Travel Well Corporation | Preventive Medicine | 3478 Buskirk Ave, Suite 1042, Pleasant Hill, CA 94523 | 2014-07-28 |
| 1700290962 | New Directions for Young Adults - California | Psychologist | 100 Longbrook Way, Ste. 20, Pleasant Hill, CA 94523 | 2014-06-16 |
| 1396161014 | Contra Costa Pathology Associates | Pathology | 399 Taylor Blvd Sw 200, Pleasant Hill, CA 94523 | 2014-03-06 |
| 1760822993 | Jessica Taylor Ysunza | Counselor | 267 Evelyn Drive, Pleasant Hill, CA 94523 | 2013-07-02 |
| 1558618306 | Kristina Foster Wunderman | Counselor | 272 Appalachian Dr, Pleasant Hill, CA 94523 | 2012-08-11 |
| 1376810028 | Patricia Murillo | Counselor | One Santa Barbara Rd, Pleasant Hill, CA 94523 | 2011-11-23 |
| 1265709257 | Marla Jaye Murray | Counselor | 315 Oakvue Lane, Pleasant Hill, CA 94523 | 2011-11-19 |
| Find all providers in zip 94523 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT HILL |
| Zip Code | 94523 |
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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.