| Bay Family Medical Group | |
|
50 S San Mateo Dr Ste 230 San Mateo CA 94401-3842 | |
| (650) 348-0454 | |
| (650) 348-7923 |
| Full Name | Bay Family Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 50 S San Mateo Dr Ste 230, San Mateo, California |
| Authorized Official Name and Position | Rosie Tan-cantiga (PRACTICE MANAGER) |
| Authorized Official Contact | 6503480454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Family Medical Group 50 S San Mateo Dr Ste 230 San Mateo CA 94401-3842 Ph: (650) 340-6040 | Bay Family Medical Group 50 S San Mateo Dr Ste 230 San Mateo CA 94401-3842 Ph: (650) 348-0454 |
| NPI Number | 1982793196 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 02/25/2022 |
| Medicare PECOS PAC ID | 5698712149 |
|---|---|
| Medicare Enrollment ID | O20050415000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982793196 | NPI | - | NPPES |
| 94-29877982 | Other | CA | DR. ALEXANDER MOLDANADO |
| ZZZ141372 | Other | CA | MICHELE LOBITZ, FNP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (California) | Primary |
| Provider Name | Adam Paley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346235538 PECOS PAC ID: 3476616293 Enrollment ID: I20090106000037 |
| Provider Name | Alexander Moldanado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184617136 PECOS PAC ID: 5294898011 Enrollment ID: I20090106000115 |
| Provider Name | Kristen Willison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306831599 PECOS PAC ID: 7012070832 Enrollment ID: I20090729000328 |
| Provider Name | Judith A Alderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407225121 PECOS PAC ID: 8123328887 Enrollment ID: I20151202000431 |
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Shu Chiropractic And Associates Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 N San Mateo Dr, Suite 5, San Mateo, CA 94401 Phone: 415-509-6632 | |
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