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

Active since September 29, 2006
5700 TELEGRAPH AVE STE 100, OAKLAND, CA 94609(510) 463-4700(510) 463-4722 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bay Area Comprehensive Spine And Sports Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC (NPI 1205928645) is a healthcare organization registered as a sports medicine in Oakland, California and active in the NPI registry since September 2006. The organization lists Michael Kwansup Park, President, as its authorized official.

NPPES Registry Identity

NPI1205928645
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameBAY AREA COMPREHENSIVE SPINE AND SPORTS MEDICAL GROUP INC
Location Address5700 TELEGRAPH AVE STE 100Oakland, CA 94609-1710
Mailing Address5700 Telegraph Ave Ste 100Oakland, CA 94609-1710 · (510) 463-4700 · Fax (510) 463-4722
Fax(510) 463-4722
Organization SubpartNo
Authorized OfficialMichael Kwansup ParkPresident · (510) 463-4700
Enumeration DateSeptember 29, 2006
Last NPPES UpdateOctober 9, 2019
NPI 1205928645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Definition
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.
5700 TELEGRAPH AVE STE 100, Oakland, CA 94609

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
5700 TELEGRAPH AVE STE 100
OAKLAND, CA 94609
Orthopaedic Surgery (Orthopaedic Trauma)
5700 TELEGRAPH AVE STE 100
OAKLAND, CA 94609
Orthopaedic Surgery (Orthopaedic Trauma)
5700 TELEGRAPH AVE STE 100
OAKLAND, CA 94609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bay Area Comprehensive Spine And Sports Medical Group Inc's NPI number?

The NPI number for Bay Area Comprehensive Spine And Sports Medical Group Inc is 1205928645. It was assigned to this organization in the NPPES registry on September 29, 2006.

Where is Bay Area Comprehensive Spine And Sports Medical Group Inc located?

Bay Area Comprehensive Spine And Sports Medical Group Inc is located at 5700 Telegraph Ave Ste 100, Oakland, CA 94609. The listed phone number is (510) 463-4700.

What is Bay Area Comprehensive Spine And Sports Medical Group Inc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Bay Area Comprehensive Spine And Sports Medical Group Inc was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.