Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BICYCLE HEALTH PROVIDER GROUP INC.
NPI 1356817886
Family Medicine - Addiction Medicine in San Jose, CA

Active since October 23, 2018CLIA 05D2314016 · Waiver
2033 GATEWAY PL FL 5, SAN JOSE, CA 95110(657) 500-0634 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2026, Aug 10, 2026, Dec 14, 2023 and 2 more (5 updates tracked since 2018).

About Bicycle Health Provider Group Inc. NPPES

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

BICYCLE HEALTH PROVIDER GROUP INC. (NPI 1356817886) is a healthcare organization registered as an addiction medicine in San Jose, California and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through November 11, 2026, maintains 2 additional practice locations, and lists Travis Eugene Schamber, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1356817886
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameBICYCLE HEALTH PROVIDER GROUP INC.
Location Address2033 GATEWAY PL FL 5San Jose, CA 95110-3709
Mailing AddressPo Box 32750Belfast, ME 04915-0220 · (844) 943-2514
Organization SubpartNo
Authorized OfficialTravis Eugene SchamberMedical Director · (765) 661-2491
Enumeration DateOctober 23, 2018
Last NPPES UpdateAugust 28, 20265 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1356817886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
2033 GATEWAY PL FL 5, San Jose, CA 95110

Secondary Practice Locations 2

Location 1141 E. Palace Ave., Suite 101Santa Fe, MA 02111 · Phone (657) 500-0634
Location 23295 W Elder St., Suite 209Boise, ID 83705 · Phone (657) 500-0634

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bicycle Health Provider Group Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bicycle Health Provider Group Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Physical Medicine and Rehabilitation
NPI 1194774075
2033 GATEWAY PL 5TH FL OFFICE 647
San Jose, CA 95110
(408) 539-5652
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811353071
8066 7TH ST
Downey, CA 90241
(323) 828-9246
✔ PECOS✔ Accepts Medicare318 mi
Nurse Practitioner
NPI 1912529272
5562 PHILADELPHIA ST
Chino, CA 91710
(714) 331-9431
✔ PECOS331 mi

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 05D2314016

Bicycle Health Provider Group - California · San Jose, CA
Active · expires Nov 11, 2026
CLIA Number05D2314016
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2024
Certificate Expiration DateNovember 11, 2026
Laboratory DirectorBrian Clear
Laboratory Phone(877) 895-5008
Laboratory LocationBicycle Health Provider Group - California2033 Gateway Pl, 5th Fl, Office 647, San Jose, CA 95110
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Bicycle Health Provider Group Inc.'s NPI number?

The NPI number for Bicycle Health Provider Group Inc. is 1356817886. It was assigned to this organization in the NPPES registry on October 23, 2018.

Where is Bicycle Health Provider Group Inc. located?

Bicycle Health Provider Group Inc. is located at 2033 Gateway Pl Fl 5, San Jose, CA 95110. The listed phone number is (657) 500-0634.

What is Bicycle Health Provider Group Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Bicycle Health Provider Group Inc. enrolled in Medicare?

Yes. Bicycle Health Provider Group Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bicycle Health Provider Group Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bicycle Health Provider Group Inc., in Nurse Practitioner and Physical Medicine and Rehabilitation. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bicycle Health Provider Group Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2314016) is associated with this NPI, valid through November 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bicycle Health Provider Group Inc. was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.