# BAY WELLNESS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bay Orthopedic Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609395961
- **Authorized official:** THEODROS SHAWL DC (PRESIDENT)
- **Authorized official phone:** (510) 469-4741

## Contact information

- **Practice address:** 5715 MARKET ST STE \#D, OAKLAND, CA 94608
- **Practice address phone:** (510) 469-4741
- **Practice address fax:** (510) 654-4209
- **Mailing address:** 5715 MARKET ST STE D, OAKLAND, CA 94608-2811
- **Mailing address phone:** (510) 469-4741
- **Mailing address fax:** (510) 654-4206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 03/26/2019