BICYCLE HEALTH PROVIDER GROUP INC. - NPI 1356817886 - Family Medicine in Redwood City, CA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.

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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 Redwood City, 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 Brian Clear, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1356817886

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NameBICYCLE HEALTH PROVIDER GROUP INC.

Location Address617 VETERANS BLVD STE 101Redwood City, CA 94063-1404

Mailing AddressP.o. Box 32750Belfast, ME 04915-0220 · (844) 943-2514

Phone(844) 943-2514

Fax(628) 777-2580

Organization SubpartNo

Authorized OfficialBrian ClearMedical Director · (510) 731-7315

Enumeration DateOctober 23, 2018

Last NPPES UpdateDecember 14, 20233 updates tracked since enumeration

NPPES CertifiedDecember 14, 2023

✔ 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

617 VETERANS BLVD STE 101, Redwood City, CA 94063

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Secondary Practice Locations 2

Location 11952 15th StSan Francisco, CA 94114-1728 · Phone (650) 384-9358

Location 22033 Gateway Place, 5th Floor, Office 647San Jose, CA 95110 · Phone (844) 943-2514

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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 05D2314016
Facility Type: Physician Office
Certificate Effective Date: November 12, 2024
Certificate Expiration Date: November 11, 2026
Laboratory Director: BRIAN CLEAR
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Bicycle Health Provider Group Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.