BAYVIEW GASTROENTEROLOGY MEDICAL CORPORATION
NPI 1306006879
Internal Medicine - Gastroenterology in Capitola, CA
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bayview Gastroenterology Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bayview Gastroenterology Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Bayview Gastroenterology Medical Corporation enrolled in Medicare?
Yes. Bayview Gastroenterology Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bayview Gastroenterology Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Osteopathic Manipulative Medicine) reassigns their Medicare billing to Bayview Gastroenterology Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Bayview Gastroenterology Medical Corporation · NPI 1306006879
Gastroenterology organization in Capitola, California. Organization record, active in the CMS NPPES registry since June 9, 2008.
## Identity
- **NPI:** 1306006879 (Entity type: Organization)
- **Enumerated:** June 9, 2008
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Ali Khademi, PHYSICIAN
## Practice location
- **Address:** 4145 CLARES ST, STE A, Capitola, CA 95010-2053
- **Phone:** (831) 662-9999 · **Fax:** (831) 662-9998
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Osteopathic Manipulative Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 13, 2016
- **Other identifiers:** Medicare UPIN H47780 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306006879) · Data from the CMS NPPES public registry.