BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC
NPI 1205928645
Physical Medicine & Rehabilitation - Sports Medicine in Oakland, CA

NPI Status: Active since September 29, 2006

Contact Information

5700 TELEGRAPH AVE STE 100
OAKLAND, CA
ZIP 94609
Phone: (510) 463-4700
Fax: (510) 463-4722

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  • Organization
  • Physical Medicine & Rehabilitation
  • Sports Medicine

About BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Bay Area Comprehensive Spine And Sports Medical Group Inc, a provider established in Oakland, California operating as a Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1205928645 assigned on September 2006. The practitioner's primary taxonomy code is 2081S0010X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Michael Kwansup Park (President)

NPI
1205928645
Provider Name
BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC
Entity Type
Organization
Location Address
5700 TELEGRAPH AVE STE 100 OAKLAND, CA 94609
Location Phone
(510) 463-4700
Location Fax
(510) 463-4722
Mailing Address
5700 TELEGRAPH AVE STE 100 OAKLAND, CA 94609
Mailing Phone
(510) 463-4700
Mailing Fax
(510) 463-4722
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-29-2006
Last Update Date
10-09-2019
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation Sports Medicine

Taxonomy Code
2081S0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHAEL KWANSUP PARK

Authorized Official Title
PRESIDENT
Authorized Official Phone
(510) 463-4700

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205928645
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051821668
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 8 + 2 + 1 + 6 + 6 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1205928645 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114088671MR. DARREN WILLIAM GUILLAUME PA-C, CS
Individual
Physician Assistant (Surgical)5700 TELEGRAPH AVE STE 100
OAKLAND, CA 94609
(510) 594-9411
1205164761DR. ADAM PAUL CARTER WARREN MD, MPH
Individual
Orthopaedic Surgery (Orthopaedic Trauma)5700 TELEGRAPH AVE STE 100
OAKLAND, CA 94609
(877) 400-0128
1659774495ADAM WARREN MD INC, A PROFESSIONAL CORPORATION
Organization
Orthopaedic Surgery (Orthopaedic Trauma)5700 TELEGRAPH AVE STE 100
OAKLAND, CA 94609
(510) 400-5117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205928645, enumerated in the NPI registry as an "organization" on September 29, 2006

The provider is located at 5700 Telegraph Ave Ste 100 Oakland, Ca 94609 and the phone number is (510) 463-4700

This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 2081S0010X with a focus in Sports Medicine

This NPI record was last updated on September 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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