# BAY AREA REHABILITATION MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891798203
- **Authorized official:** DAVID C BRADSHAW M.D. (PARTNER)
- **Authorized official phone:** (510) 537-7873

## Contact information

- **Practice address:** 19830 LAKE CHABOT RD, STE C, CASTRO VALLEY, CA 94546-4063
- **Practice address phone:** (510) 537-7873
- **Mailing address:** 2250 HAYES ST, SAN FRANCISCO, CA 94117-1013
- **Mailing address phone:** (415) 750-5761
- **Mailing address fax:** (415) 666-0210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | C385990 | CA | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 05/14/2008