Provider Demographics
NPI:1932942596
Name:BAYCHILDREN'S PHYSICIANS
Entity type:Organization
Organization Name:BAYCHILDREN'S PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. DIRECTOR OR OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:YINA
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-476-4969
Mailing Address - Street 1:6425 CHRISTIE AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:EMERVYILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94608
Mailing Address - Country:US
Mailing Address - Phone:415-476-4977
Mailing Address - Fax:415-353-8280
Practice Address - Street 1:UBCP FAMILY MEDICINE SANTA CRUZ
Practice Address - Street 2:1665 DOMINICAN WAY
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95065
Practice Address - Country:US
Practice Address - Phone:415-476-7988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BAYCHILDREN'S PHYSICIANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty