BAYSIDE MEDICAL GROUP, INC – NPI #1689633240
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.

BAYSIDE MEDICAL GROUP, INC is a provider located in PLEASANTON, CA. NPPES has assigned the NPI number 1689633240 to BAYSIDE MEDICAL GROUP, INC on March 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 16 years ago on Jun 04, 2010. 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 BAYSIDE MEDICAL GROUP, INC below.

NPI Profile for
BAYSIDE MEDICAL GROUP, INC

NPI Number
1689633240
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
BAYSIDE MEDICAL GROUP, INC
Primary location
5720 STONERIDGE MALL RD
SUITE 240
PLEASANTON, CA 94588-2828
Phone: (925) 463-1234 Fax: (925) 463-9599
Mailing address
11875 DUBLIN BLVD
SUITE C140
DUBLIN, CA 94568-2843
Phone: (925) 587-2505 Fax: (925) 587-2511
Organization Subpart
No
Authorized Official
BUDD SHENKIN
OWNER/PRESIDENT
Phone: (925) 587-2505
Updated
Identifiers

Identifiers for BAYSIDE MEDICAL GROUP, INC

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
OTHERMEDICARECAZZZ06346Z
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)
207Q00000X
- Family Medicine

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.