Bay Area Pediatric Pulmonary Medical Group, Inc
Pediatric Pulmonology
Bay Area Pediatric Pulmonary Medical Group, Inc is a Oakland, California based Pediatric center with medical specialization in
Pediatric Pulmonology.
It is located at
747 52nd St, Suite 5409, Oakland, California - 94609-1809. They can be contacted on phone at
510-428-3305 and fax number 510-597-7154.
NPI number (Unique professional ID) for Bay Area Pediatric Pulmonary Medical Group, Inc is
1568577997 which was assigned by NPPES on 19 Aug, 2006 and it was last updated on 09 Jun, 2009.
Bay Area Pediatric Pulmonary Medical Group, Inc is dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Complete Profile:
Bay Area Pediatric Pulmonary Medical Group, Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Pulmonology |
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| Provider Name : | Bay Area Pediatric Pulmonary Medical Group, Inc |
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Business Address:
Bay Area Pediatric Pulmonary Medical Group, Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 747 52nd St, Suite 5409
Oakland, CA, 94609-1809
United States |
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| Phone Number : | 510-428-3305 |
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| Fax Number : | 510-597-7154 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1568577997 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 19 Aug, 2006 |
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| Last Updated On : | 09 Jun, 2009 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Karenann Hardy |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | CEO/PRESIDENT |
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| Phone Number : | 510-428-3885 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bay Area Pediatric Pulmonary Medical Group, Inc are as mentioned. Primary taxonomy code for Bay Area Pediatric Pulmonary Medical Group, Inc is
2080P0214X (Pediatrics Pediatric Pulmonology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0214X | Pediatrics Pediatric Pulmonology | Yes | | CA |
Legacy Identifiers:
Other legacy medical identifiers of Bay Area Pediatric Pulmonary Medical Group, Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| GR0085560 | MEDICAID | CA | |
| ZZZ64422Z | Other | CA | BLUE SHIELD PROVIDER NUMB |
| GR0085561 | MEDICAID | CA | |
| ZZZ60449Z | Other | CA | BLUE SHIELD PROVIDER NUMB |
| ZZZ60448Z | Other | CA | BLUE SHIELD PROVIDER NUMB |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 747 52nd St, Suite 5409
Oakland, CA, 94609-1809
United States |
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| Phone Number : | 510-428-3305 |
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| Fax Number : | 510-597-7154 |
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Business Location:
Patients can refer following map for directions to
Bay Area Pediatric Pulmonary Medical Group, Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.