BANCROFT PEDIATRIC MEDICAL GROUP – NPI #1316903461
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

BANCROFT PEDIATRIC MEDICAL GROUP is a provider located in SAN LEANDRO, CA. NPPES has assigned the NPI number 1316903461 to BANCROFT PEDIATRIC MEDICAL GROUP on April 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 10 years ago on Jan 06, 2016. 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 BANCROFT PEDIATRIC MEDICAL GROUP below.

NPI Profile for
BANCROFT PEDIATRIC MEDICAL GROUP

NPI Number
1316903461
Enumeration Date

(more than 20 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
BANCROFT PEDIATRIC MEDICAL GROUP
Doing Business As (dba): BANCROFT PEDIATRIC MEDICAL GROUP
Primary location
1555 DOOLITTLE DR. 180
SAN LEANDRO, CA 94577
Phone: (510) 483-2600 Fax: (510) 483-2605
Mailing address
1555 DOOLITTLE DR STE 180
SAN LEANDRO, CA 94577-2239
Phone: (510) 483-2600 Fax: (510) 483-2605
Organization Subpart
No
Authorized Official
MIRIAN RHEW
SENIOR PARTNER
Phone: (510) 483-2600
Updated
Identifiers

Identifiers for BANCROFT PEDIATRIC MEDICAL GROUP

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERDARCY GRANT LICENSECAA102586
OTHERJUDITH MILLSTEIN LICENSECAA128385
OTHERLAURA DENENBERG MD LICENSA60244
OTHERLAURA GRUNBAUM MD LICENSEG80985
OTHERMARIA E BEAMER MD LICENSEA40292
OTHERMICHELE TAMSECA20A10768
OTHERMIRIAM M RHEW MD LICENSEA63066
OTHERREI MASUI LICENSECAA69220
OTHERSTEVE SANTUCCI MD LICENSEA63180
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
208000000X
- Pediatrics (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.