Bay Mtu is a Pediatrics in San Lorenzo, California. Bay Mtu practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Bay Mtu is 1699824557. The last update date is 2020-08-22.
Bay Mtu's current location address is 2001 Bockman Rd, San Lorenzo, California. You can contact this provider via phone number 5103174355 and fax number 5102788246. The mailing address for Bay Mtu is 2001 Bockman Rd, San Lorenzo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bay Mtu |
|---|---|
| Address | 2001 Bockman Rd, San Lorenzo, California |
| Phone Number | 5103174355 |
| Fax Number | 5102788246 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF THER |
|---|---|
| Authorized Official Name | Johnson L Susan |
| Credentials | PT |
| Telephone Number | 5102673278 |
NPI Number Detail
| NPI Number | 1699824557 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2001 Bockman Rd |
|---|---|
| City | San Lorenzo |
| State | California (CA) |
| Post Code | 945801903 |
| Phone Number | 5103174355 |
| Fax Number | 5102788246 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CCS00034F | CA | CCS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Bay Mtu by the Centers for Medicare & Medicaid Services?
The Bay Mtu has been issued the NPI (National Provider Identifier) 1699824557. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bay Mtu is geographically located?
The Bay Mtu is physically situated at the following location: 2001 Bockman Rd, San Lorenzo, CA, 945801903.
What is Bay Mtu's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bay Mtu is Pediatrics, and the taxonomy code that classifies this field of practice is 2251P0200X.
When was the Bay Mtu's 1699824557 issued?
The Bay Mtu's 1699824557 was issued on 2007-01-09.
As of what date was the information pertaining to Bay Mtu, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bay Mtu, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN