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BAYVIEW GASTROENTEROLOGY MEDICAL CORPORATION
NPI 1306006879
Internal Medicine - Gastroenterology in Capitola, CA

Active since June 09, 2008CLIA 05D0989660 · Waiver
4145 CLARES ST, STE A, CAPITOLA, CA 95010(831) 662-9999(831) 662-9998 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bayview Gastroenterology Medical Corporation NPPES

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

BAYVIEW GASTROENTEROLOGY MEDICAL CORPORATION (NPI 1306006879) is a healthcare organization registered as a gastroenterology in Capitola, California and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Ali Khademi, Physician, as its authorized official.

NPPES Registry Identity

NPI1306006879
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameBAYVIEW GASTROENTEROLOGY MEDICAL CORPORATION
Location Address4145 CLARES ST, STE ACapitola, CA 95010-2053
Mailing Address4145 Clares St, Ste ACapitola, CA 95010-2053 · (831) 662-9999 · Fax (831) 662-9998
Phone(831) 662-9999
Fax(831) 662-9998
Organization SubpartNo
Authorized OfficialAli KhademiPhysician · (831) 662-9999
Enumeration DateJune 9, 2008
Last NPPES UpdateDecember 13, 2016
✔ NPI 1306006879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · 20A7421
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4145 CLARES ST, Capitola, CA 95010
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Other Identifiers 1

Medicare UPINH47780CA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0989660

Bayview Gastroenterology Medical Corp · Capitola, CA
Active · expires Jul 31, 2027
CLIA Number05D0989660
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorAli Khademi Do
Laboratory Phone(831) 662-9999
Laboratory LocationBayview Gastroenterology Medical Corp4145 Clares St Ste A, Capitola, CA 95010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MAHNAZ AZIMI
Respiratory Therapist, Registered
4145 CLARES ST
CAPITOLA, CA 95010
Santa Cruz County (831) 438-2750
LEIGH ALISON MUELLER DO
Pediatrics
4145 CLARES ST, SUITE A
CAPITOLA, CA 95010
Santa Cruz County (831) 476-1933
DR. EDWARD H LIPSON M.D.
Pediatrics
4145 CLARES ST, SUITE A
CAPITOLA, CA 95010
Santa Cruz County (510) 334-8234

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 Bayview Gastroenterology Medical Corporation's NPI number?

The NPI number for Bayview Gastroenterology Medical Corporation is 1306006879. It was assigned to this organization in the NPPES registry on June 9, 2008.

Where is Bayview Gastroenterology Medical Corporation located?

Bayview Gastroenterology Medical Corporation is located at 4145 Clares St Ste A, Capitola, CA 95010. The listed phone number is (831) 662-9999.

What is Bayview Gastroenterology Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Bayview Gastroenterology Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0989660) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bayview Gastroenterology Medical Corporation was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.