| Bay Valley Medical Group, Inc. | |
|
20126 Stanton Ave Ste 201 Castro Valley CA 94546-5271 | |
| (510) 581-2559 | |
| Not Available |
| Full Name | Bay Valley Medical Group, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 20126 Stanton Ave, Castro Valley, California |
| Authorized Official Name and Position | Matthew Burdusis (MANAGER OF INFORMATION SYSTEMS) |
| Authorized Official Contact | 5102665401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Valley Medical Group, Inc. 27212 Calaroga Ave Hayward CA 94545-4339 Ph: (510) 785-5000 | Bay Valley Medical Group, Inc. 20126 Stanton Ave Ste 201 Castro Valley CA 94546-5271 Ph: (510) 581-2559 |
| NPI Number | 1497760870 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497760870 | NPI | - | NPPES |
| GR0024011 | Other | CA | MEDI-CAL |
| 05D1079934 | Other | CA | CLIA |
| 05D0695762 | Other | CA | CLIA |
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