WEST BAY URGENT CARE ASSOCIATES INC A MEDICAL CORPORATION


Address: 4000 Civic Center Dr, Suite 206, San Rafael, CA 94903-5233
Phone: 4154924808

WEST BAY URGENT CARE ASSOCIATES INC A MEDICAL CORPORATION (NPI# 1770917478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770917478
Entity Type Organization
Organization Name WEST BAY URGENT CARE ASSOCIATES INC A MEDICAL CORPORATION
Other Organization Name WEST BAY URGENT CARE ASSOCIATES
Practice Address 4000 Civic Center Dr
Suite 206
San Rafael
CA 94903-5233
Mailing Address Po Box 4419
Woodland Hills
CA 91365-4419
Practice Telephone 4154924808
Mailing Telephone 8183409988
Mailing Fax Number 8185872493
Enumeration Date 2013-08-29
Last Update Date 2013-12-04
Authorized Official Name RICHARD BODONY (PRESIDENT)
Authorized Official Telephone 8183409988
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
West Bay Urgent Care Associates Doing Business As Name - Organization

Office Location

Street Address 4000 CIVIC CENTER DR
SUITE 206
City SAN RAFAEL
State CA
Zip Code 94903-5233

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144219767 Cynthia Billmeyer Clark Emergency Medicine 4000 Civic Center Dr, San Rafael, CA 94903-4171 2005-10-17
1811597537 Eugenia Clark Behavior Technician 4000 Civic Center Dr, San Rafael, CA 94903-4171 2020-10-30
1316547698 Will Perkins Behavior Technician 4000 Civic Center Dr, San Rafael, CA 94903-4171 2020-10-27
1427657725 Emily Anne Thompson Behavior Technician 4000 Civic Center Dr, San Rafael, CA 94903-4171 2020-10-19
1659982478 Gregory Natt Behavioral Analyst 4000 Civic Center Dr, San Rafael, CA 94903-4171 2020-08-14
1124651120 Juliana Kathleen Biro Behavior Technician 4000 Civic Center Dr, San Rafael, CA 94903-4171 2020-02-18
1528691078 Kaitlyn Bette Rosenblatt Assistant Behavior Analyst 4000 Civic Center Dr, San Rafael, CA 94903-4171 2020-02-12
1104368778 Rajdeep Singh Nurse Practitioner 4000 Civic Center Dr, Suite 200, San Rafael, CA 94903-4171 2016-11-13
1033513742 Crizelda Lauron Optometrist 4000 Civic Center Dr, Suite 200a, San Rafael, CA 94903-4171 2014-10-09
1023243359 Daniel J. Solomon, Md Inc Orthopaedic Surgery 4000 Civic Center Dr, Suite 205, San Rafael, CA 94903-4171 2009-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
1134769482 Katherine Sieger Music Therapist 400 Civic Center Dr. #300, San Rafael, CA 94903 2020-01-14
1679064836 California In Home Care & Registry, Inc In Home Supportive Care 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 2018-05-23
1922557586 Helen Elizabeth Shamis Marriage & Family Therapist 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 2016-09-23
1033572771 Henry Colbert Counselor 1 St. St. Vincent Drive, San Rafael, CA 94903 2016-03-31
1659736924 Robyn Bloom Marriage & Family Therapist 4 Joseph Court, San Rafael, CA 94903 2015-12-30
1851760565 Cheryl Clementson Substance Abuse Rehabilitation Facility 301 Smith Ranch Road, San Rafael, CA 94903 2015-09-23
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1083002315 Kaiser Permanente Psychiatric Unit 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 2015-01-09
1366857856 Travel Well Corporation Preventive Medicine 28 Mitchell Blvd, San Rafael, CA 94903 2014-06-24
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851922900 Anna Lankester Webster Emergency Medicine 1600 Los Gamos Dr Ste 220, San Rafael, CA 94903-1842 2020-01-28
1700012069 Irwin David Greenly Emergency Medicine 85 North Ave, #1a, San Rafael, CA 94903-5539 2009-06-01
1144219767 Cynthia Billmeyer Clark Emergency Medicine 4000 Civic Center Dr, San Rafael, CA 94903-4171 2005-10-17
1659444966 Vicki S. Martinez Emergency Medicine 99 Montecillo Rd, San Rafael, CA 94903-3308 2006-11-16
1851463509 Darlena M. Monet Emergency Medicine 99 Montecillo Rd, San Rafael, CA 94903-3308 2006-11-15
1396829461 Robert J. Stein Emergency Medicine 99 Montecillo Rd, San Rafael, CA 94903-3308 2006-10-25
1750465738 Anna Michelle Denham Emergency Medicine 99 Montecillo Rd, San Rafael, CA 94903-3308 2006-10-25
1912081993 John E. David Emergency Medicine 99 Montecillo Rd, San Rafael, CA 94903-3308 2006-10-25
1821172800 Peter J. Teichman Emergency Medicine 99 Montecillo Rd, San Rafael, CA 94903-3308 2006-10-25
1285718262 Seth M. Peckler Emergency Medicine 99 Montecillo Rd, San Rafael, CA 94903-3308 2006-10-25
Find all providers in SAN RAFAEL

Competitor

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City SAN RAFAEL
Zip Code 94903

Improve Information

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Dataset Information

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.

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