SBSFM – NPI #1881884310
Clinic/Center

SBSFM is an AHC clinic located in CAMPBELL, CA. NPPES has assigned the NPI number 1881884310 to SBSFM on July 31, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SBSFM” is a dba name, the actual legal business name for this organization is SOUTH BAY SPORTS AND FAMILY MEDICINE, A MEDICAL CORPORATION. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was previously updated about 18 years ago on Aug 20, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SBSFM below.

NPI Profile for
SOUTH BAY SPORTS AND FAMILY MEDICINE, A MEDICAL CORPORATION

NPI Number
1881884310
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH BAY SPORTS AND FAMILY MEDICINE, A MEDICAL CORPORATION
Doing Business As (dba): SBSFM
Primary location
221 E HACIENDA AVE
SUITE B
CAMPBELL, CA 95008-6616
Phone: (408) 376-3350 Fax: (408) 374-4130
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTIAN FULMER
CEO
Phone: (408) 568-2641
Updated
Identifiers

Identifiers for SBSFM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PTANCAZZZ06553Z
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.