BAY AREA SPINE INSTITUTE (NPI# 1639252067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639252067 |
| Entity Type | Organization |
| Organization Name | BAY AREA SPINE INSTITUTE |
| Practice Address |
450 N Wiget Ln Walnut Creek CA 94598-2408 |
| Mailing Address |
3095 Sandstone Rd Alamo CA 94507-1616 |
| Practice Telephone | 9259419806 |
| Mailing Telephone | 9257531986 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2015-03-05 |
| Authorized Official Name | PAUL NOTTINGHAM (PRESIDENT) |
| Authorized Official Telephone | 9259373004 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Street Address |
450 N WIGET LN |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537870 | Jacob A Rosenberg | Pain Medicine | 450 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2005-06-10 |
| 1164996112 | Sharmin Ali | Nurse Practitioner | 450 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2019-01-13 |
| 1275003204 | Courtney Elizabeth Perry | Physician Assistant | 450 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2018-12-03 |
| 1518436070 | Richard Florente | Physical Therapy Assistant | 450 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2018-11-14 |
| 1578047197 | Bruce Valladolid | Radiology | 450 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2018-09-19 |
| 1023528536 | Zhanette Hope Coffee | Registered Nurse | 450 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2017-10-10 |
| 1669908745 | Hasina Mojadidi | Physician Assistant | 450 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2017-05-10 |
| 1952843286 | Jamie T Choi | Nurse Practitioner | 450 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2016-11-17 |
| 1053749358 | Jessica Linnane | Nurse Practitioner | 450 N Wiget Ln, Walnut Creek, CA 94598 | 2013-10-23 |
| 1922443167 | Alice Nelly Bolick | Physician Assistant | 450 N Wiget Ln, Walnut Creek, CA 94598-2408 | 2013-05-01 |
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386694602 | Abid Qureshi | Orthopaedic Surgery | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2006-05-10 |
| 1699725945 | Steven Sungho Lee | Orthopaedic Surgery | 2405 Shadelands Dr, Walnut Creek, CA 94598-2444 | 2006-05-10 |
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| 1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 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.