BAYCHILDREN'S PHYSICIANS (NPI# 1609317015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609317015 |
| Entity Type | Organization |
| Organization Name | BAYCHILDREN'S PHYSICIANS |
| Other Organization Name | UBCP MFM PRACTICE |
| Practice Address |
350 30th St Suite 208 Oakland CA 94609-3424 |
| Mailing Address |
6475 Christie Ave Suite 300 Emeryville CA 94608-1095 |
| Practice Telephone | 5104440790 |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |
| Authorized Official Name | MITCHELL NEYHART (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 4154764424 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAYCHILDREN'S PHYSICIANS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| UBCP MFM Practice | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568922789 | Baychildren's Physicians | Pediatrics | 655 Redwood Hwy Frontage Rd Ste 216, Mill Valley, CA 94941-3055 | 2019-03-22 |
| 1497257950 | Baychildren's Physicians | Obstetrics & Gynecology | 2970 Camino Diablo Ste 200, Walnut Creek, CA 94597-4001 | 2018-03-01 |
| 1851892459 | Baychildren's Physicians | Obstetrics & Gynecology | 2970 Camino Diablo Ste 210, Walnut Creek, CA 94597 | 2018-02-28 |
| 1417498825 | Baychildren's Physicians | Pediatrics | 1555 Doolittle Dr, #180, San Leandro, CA 94577-2239 | 2017-03-17 |
| 1912447137 | Baychildren's Physicians | Obstetrics & Gynecology | 3000 Colby St Ste 301, Berkeley, CA 94705-2058 | 2017-03-07 |
| 1891296497 | Baychildren's Physicians | Obstetrics & Gynecology | 3000 Colby St Ste 301, Berkeley, CA 94705-2058 | 2018-02-28 |
| 1104357359 | Baychildren's Physicians | Pediatrics | 3000 Colby St Ste 301, Berkeley, CA 94705-2058 | 2017-03-21 |
| 1417498734 | Baychildren's Physicians | Pediatrics | 3490 California St, Suite 200, San Francisco, CA 94118-1891 | 2017-03-20 |
| 1225578453 | Baychildren's Physicians | Pediatrics | 2970 Hilltop Mall Rd, Suite 305, Richmond, CA 94806-1947 | 2017-03-07 |
| 1922124866 | Baychildren's Physicians | Clinic/Center | 747 52nd St, Oakland, CA 94609-1809 | 2007-03-22 |
| Street Address |
350 30TH ST SUITE 208 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932183472 | Yi Yi Stephanie Gu | Internal Medicine | 350 30th St, #320, Oakland, CA 94609-3424 | 2005-11-29 |
| 1225561095 | Jonathan R Dunham | Physician Assistant | 350 30th St, Suite 530, Oakland, CA 94609-3424 | 2017-04-07 |
| 1417320896 | Sarah Holmgren | Nurse Practitioner | 350 30th St, Suite 320, Oakland, CA 94609-3424 | 2015-11-05 |
| 1477975860 | Hiva Kolodrubetz | Registered Nurse | 350 30th St, #320, Oakland, CA 94609-3424 | 2014-01-20 |
| 1710322664 | Allyse Wharton | Physician Assistant | 350 30th St, Oakland, CA 94609-3424 | 2013-05-06 |
| 1578806329 | Aimee Keyashian | Internal Medicine | 350 30th St, #320, Oakland, CA 94609-3424 | 2013-03-30 |
| 1265774053 | Lynn Ellen Chiarello | Advanced Practice Midwife | 350 30th St, Suite 208, Oakland, CA 94609-3424 | 2013-03-20 |
| 1396001640 | Jennifer Brewster | Physician Assistant | 350 30th St, Suite 320, Oakland, CA 94609-3424 | 2012-04-11 |
| 1497012777 | Nicholas V Drbal | Podiatrist | 350 30th St, Suite 100, Oakland, CA 94609-3424 | 2012-04-11 |
| 1871861559 | Clark S Tsai, M.d., Inc. | Ophthalmology | 350 30th St, Suite 444, Oakland, CA 94609-3424 | 2011-12-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073715108 | Adam J Duhl | Obstetrics & Gynecology | 599 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2007-06-01 |
| 1831495712 | Total Sono, LLC | Obstetrics & Gynecology | 599 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2011-02-10 |
| 1285712786 | Donald C. Dyson | Obstetrics & Gynecology | 1950 Franklin St, Oakland, CA 94612-5103 | 2006-11-01 |
| 1316025109 | Lawrence A. Newman | Obstetrics & Gynecology | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1972522480 | David N Marinoff | Obstetrics & Gynecology | 350 30th St, Suite 208, Oakland, CA 94609-3424 | 2006-07-18 |
| 1750312179 | Subhash C Mitra | Obstetrics & Gynecology | 350 30th St, #205, Oakland, CA 94609-3424 | 2006-07-05 |
| 1750312021 | Janet M Goldman | Obstetrics & Gynecology | 350 30th St, Suite 208, Oakland, CA 94609-3424 | 2006-07-05 |
| 1245260686 | Ralph Thomas Depalma | Obstetrics & Gynecology | 350 30th St, Suite 205, Oakland, CA 94609-3424 | 2006-07-03 |
| 1770523771 | Jonathan D Weiss | Obstetrics & Gynecology | 350 30th St, Suite 208, Oakland, CA 94609-3424 | 2006-06-07 |
| 1144272170 | East Bay Perinatal Medical Associates | Obstetrics & Gynecology | 350 30th St, Suite 208, Oakland, CA 94609-3425 | 2006-05-17 |
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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.