BAY AREA SPORTS CLINIC (NPI# 1720315161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720315161 |
| Entity Type | Organization |
| Organization Name | BAY AREA SPORTS CLINIC |
| Practice Address |
50 S San Mateo Dr Suite 470 San Mateo CA 94401-3857 |
| Mailing Address |
1800 Sullivan Ave Suite 402 Daly City CA 94015-2228 |
| Practice Telephone | 6503485400 |
| Mailing Telephone | 6509927700 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | LAURA N SCIARONI (PRESIDENT) |
| Authorized Official Telephone | 6509927700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | THE ORTHOPAEDIC GROUP OF SAN FRANCISCO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | FNP 38941 | CA | Other Service Providers |
| Street Address |
50 S SAN MATEO DR SUITE 470 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617136 | Alexander Moldanado | Family Medicine | 50 S San Mateo Dr, Suite 230, San Mateo, CA 94401-3857 | 2005-08-25 |
| 1649664301 | Peninsula Endoscopy Center LLC | Clinic/Center | 50 S San Mateo Dr, Suite 400, San Mateo, CA 94401-3861 | 2015-03-20 |
| 1518395169 | Hayley Skinner Brown | Nurse Practitioner | 50 S San Mateo Dr, Ste 230, San Mateo, CA 94401-3857 | 2013-10-17 |
| 1669748026 | Endocrinology, Metabolism and Clinical Nutrition Practice | Dietitian, Registered | 50 S San Mateo Dr, Suite 370, San Mateo, CA 94401-3857 | 2012-03-29 |
| 1881960797 | Endocrinology,metabolism,and Clinical Nutrition Practice | Dietitian, Registered | 50 S San Mateo Dr, Suite 370, San Mateo, CA 94401-3857 | 2012-03-25 |
| 1699067371 | California Anesthesia Network Nursing Services, PC | Anesthesiology | 50 S San Mateo Dr, Suite 400, San Mateo, CA 94401-3857 | 2011-05-12 |
| 1407148810 | California Anesthesia Network Services, PC | Anesthesiology | 50 S San Mateo Dr, Suite #400, San Mateo, CA 94401-3857 | 2011-05-04 |
| 1942523394 | Michael David Carson | Optometrist | 50 S San Mateo Dr, Suite 200, San Mateo, CA 94401-3857 | 2010-03-11 |
| 1629209465 | Emily Yu, Md, Medical Corporation | Obstetrics & Gynecology | 50 S San Mateo Dr, Suite 420, San Mateo, CA 94401-3857 | 2009-07-28 |
| 1295974202 | Maryam Arjomand, Md, Inc | Obstetrics & Gynecology | 50 S San Mateo Dr, 420, San Mateo, CA 94401-3857 | 2009-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| 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 |
|---|---|---|---|---|
| 1790349090 | Amy Melissa Hofmann | Specialist | 1720 S Amphlett Blvd # S110, San Mateo, CA 94402-2702 | 2019-04-23 |
| 1790256550 | Gemma Margaret Mary Roche | Specialist | 430 Peninsula Ave, San Mateo, CA 94401-1682 | 2018-12-05 |
| 1598236358 | Avalon Skin Care and Electrolysis Inc | Specialist | 430 Peninsula Ave Ste 8, San Mateo, CA 94401-1683 | 2018-12-05 |
| 1477914307 | Mika Kakefuda Derynck | Specialist | 27 Hilltop Rd, San Mateo, CA 94402-1146 | 2016-03-20 |
| 1346605938 | Roderick Cooper | Specialist | 1108 S. El Camino Real, San Mateo, CA 94404 | 2015-12-23 |
| 1245475623 | Barbara Jean Neter | Specialist | 1900 Ofarrell St Ste 250, San Mateo, CA 94403-1387 | 2008-12-12 |
| 1265651780 | Marna M Skaar Md Inc | Specialist | 50 S San Mateo Dr Ste 280, San Mateo, CA 94401-3859 | 2007-04-24 |
| 1225252075 | Sharryn R Jones | Specialist | 1600 E 3rd Ave, #2807, San Mateo, CA 94401-2166 | 2007-04-12 |
| 1700900800 | Sharon Ann Clark | Specialist | 50 South San Mateo Drive, Ste. 105, San Mateo, CA 94401 | 2007-03-16 |
| 1689763781 | Maryam Arjomand | Specialist | 136 North San Mateo Dr, #1010, San Mateo, CA 94401 | 2006-10-12 |
| Find all providers in SAN MATEO | ||||
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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.