DHP OF NORTHBAY MEDICAL GROUP INC
NPI 1336404557
Surgery in Fairfield, CA

Active since July 13, 2012
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533(707) 646-4000 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dhp Of Northbay Medical Group Inc NPPES

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

DHP OF NORTHBAY MEDICAL GROUP INC (NPI 1336404557) is a healthcare organization registered as a surgery in Fairfield, California and active in the NPI registry since July 2012. The organization lists Sujal Mandavia, President, as its authorized official.

NPPES Registry Identity

NPI1336404557
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameDHP OF NORTHBAY MEDICAL GROUP INC
Location Address1200 B GALE WILSON BLVDFairfield, CA 94533-3552
Mailing Address265 Brookview Centre Way, Suite 400Knoxville, TN 37919-4052 · (865) 693-1000
Organization SubpartNo
Authorized OfficialSujal MandaviaPresident · (865) 693-1000
Enumeration DateJuly 13, 2012
Last NPPES UpdateJuly 30, 2012
NPI 1336404557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedHospitalistTaxonomy 208M00000X
1200 B GALE WILSON BLVD, Fairfield, CA 94533

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Anesthesiology
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Anesthesiology
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Emergency Medicine
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Emergency Medicine
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Registered Nurse
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Registered Nurse
1200 B GALE WILSON BLVD, LINDA PRYOR, CORPORATE COMPLIANCE
FAIRFIELD, CA 94533
Nurse Practitioner (Acute Care)
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Dietitian, Registered
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533

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 Dhp Of Northbay Medical Group Inc's NPI number?

The NPI number for Dhp Of Northbay Medical Group Inc is 1336404557. It was assigned to this organization in the NPPES registry on July 13, 2012.

Where is Dhp Of Northbay Medical Group Inc located?

Dhp Of Northbay Medical Group Inc is located at 1200 B Gale Wilson Blvd, Fairfield, CA 94533. The listed phone number is (707) 646-4000.

What is Dhp Of Northbay Medical Group Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Dhp Of Northbay Medical Group Inc was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.