Organization
BAY VALLEY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BURDUSIS (MANAGER OF INFORMATION SYSTEMS)
(510) 785-5000
Entity
Organization
Contact information
Practice address
27212 CALAROGA AVE, HAYWARD, CA 94545-4339
(510) 785-5000
(510) 293-5606
Mailing address
27212 CALAROGA AVE, HAYWARD, CA 94545-4339
(510) 785-5000
(510) 293-5606
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0599092
CLIA
CA
01
—
GR0024010
MEDICAL PROVIDER NUMBER
CA
01
—
ZZZ81610Z
MEDICAL LAB PROVIDER NUMBER
CA
Enumeration date
07/21/2006
Last updated
04/29/2008
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